| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.27 | $131.77 | $544.00 | |
Aetna
| Professional | $116.27 | $131.77 | $251.39 | |
CareFirst
| Professional | $136.16 | $136.16 | $348.62 | |
Cigna
| Professional | $117.47 | $183.20 | $327.55 | |
Kaiser Permanente
| Professional | $146.47 | $306.39 | $306.39 | |
United
| Professional | $128.44 | $203.92 | $329.08 |