| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $128.00 | |
Aetna
| Professional | $102.31 | $136.93 | $288.07 | |
CareFirst
| Professional | $100.02 | $101.86 | $387.74 | |
Cigna
| Professional | $104.12 | $180.25 | $398.40 | |
Kaiser Permanente
| Professional | $150.55 | $194.83 | $367.29 | |
United
| Professional | $110.23 | $156.41 | $385.78 |