| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.19 | $112.25 | $211.80 | |
Aetna
| Professional | $84.19 | $95.42 | $196.16 | |
CareFirst
| Professional | $89.35 | $102.99 | $193.99 | |
Cigna
| Professional | $84.15 | $116.17 | $239.67 | |
Kaiser Permanente
| Professional | $125.11 | $261.69 | $261.69 | |
United
| Professional | $77.75 | $106.50 | $276.24 |