| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $128.00 | |
Aetna
| Professional | $61.24 | $85.88 | $173.03 | |
CareFirst
| Professional | $54.21 | $61.05 | $225.18 | |
Cigna
| Professional | $63.48 | $111.47 | $256.91 | |
Kaiser Permanente
| Professional | $96.96 | $125.48 | $238.60 | |
United
| Professional | $68.77 | $108.92 | $247.10 |