| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $95.50 | $112.20 | |
Aetna
| Professional | $69.18 | $112.20 | $251.19 | |
CareFirst
| Professional | $89.13 | $186.21 | $199.53 | |
Cigna
| Professional | $77.62 | $102.33 | $239.88 | |
Kaiser Permanente
| Professional | $114.82 | $204.17 | $263.03 | |
United
| Facility | $79.43 | $79.43 | $79.43 | |
United
| Professional | $77.62 | $125.89 | $245.47 |