| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $436.52 | |
Aetna
| Professional | $67.61 | $107.15 | $181.97 | |
CareFirst
| Professional | $51.29 | $57.54 | $288.40 | |
Cigna
| Professional | $81.28 | $120.23 | $199.53 | |
Kaiser Permanente
| Professional | $107.15 | $125.89 | $245.47 | |
United
| Facility | $74.13 | $74.13 | $97.72 | |
United
| Professional | $79.43 | $120.23 | $218.78 |