| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.35 | $94.46 | $378.00 | |
Aetna
| Professional | $83.35 | $94.46 | $177.58 | |
CareFirst
| Professional | $95.76 | $95.76 | $242.41 | |
Cigna
| Professional | $84.76 | $127.07 | $227.53 | |
Kaiser Permanente
| Professional | $105.68 | $220.28 | $220.28 | |
United
| Professional | $88.97 | $139.16 | $232.53 |