| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $107.15 | $162.18 | $316.23 | |
CareFirst
| Professional | $95.50 | $104.71 | $354.81 | |
Cigna
| Professional | $104.71 | $158.49 | $371.54 | |
Kaiser Permanente
| Professional | $162.18 | $186.21 | $234.42 | |
United
| Facility | $100.00 | $100.00 | $131.83 | |
United
| Professional | $100.00 | $154.88 | $295.12 |