| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $128.00 | |
Aetna
| Professional | $78.61 | $107.58 | $237.16 | |
CareFirst
| Professional | $69.41 | $78.22 | $304.89 | |
Cigna
| Professional | $81.23 | $141.79 | $319.79 | |
Kaiser Permanente
| Professional | $120.61 | $156.08 | $294.39 | |
United
| Professional | $89.81 | $134.27 | $307.26 |