| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.29 | $105.73 | $124.39 | |
Aetna
| Professional | $17.17 | $93.29 | $129.47 | |
CareFirst
| Professional | $80.43 | $80.43 | $107.54 | |
Kaiser Permanente
| Professional | $138.94 | $138.94 | $291.45 | |
United
| Professional | $60.55 | $121.13 | $287.19 |