| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $128.00 | |
Aetna
| Professional | $80.22 | $110.93 | $234.73 | |
CareFirst
| Professional | $72.09 | $81.59 | $304.89 | |
Cigna
| Professional | $83.54 | $143.47 | $329.54 | |
Kaiser Permanente
| Professional | $123.91 | $160.36 | $302.55 | |
United
| Professional | $89.81 | $143.12 | $316.88 |