| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $128.00 | |
Aetna
| Professional | $112.69 | $152.87 | $207.40 | |
CareFirst
| Professional | $87.08 | $87.08 | $435.72 | |
Cigna
| Professional | $118.34 | $196.50 | $356.72 | |
Kaiser Permanente
| Professional | $164.91 | $296.98 | $363.12 | |
United
| Professional | $137.94 | $185.31 | $383.31 |