| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $128.00 | |
Aetna
| Professional | $69.48 | $99.01 | $195.14 | |
CareFirst
| Professional | $61.06 | $69.22 | $281.58 | |
Cigna
| Professional | $72.34 | $128.62 | $290.19 | |
Kaiser Permanente
| Professional | $110.63 | $143.16 | $270.63 | |
United
| Professional | $82.74 | $123.58 | $280.82 |