| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $128.00 | |
Aetna
| Professional | $69.48 | $94.26 | $195.14 | |
CareFirst
| Professional | $61.06 | $69.22 | $244.51 | |
Cigna
| Professional | $72.34 | $121.93 | $279.43 | |
Kaiser Permanente
| Professional | $105.71 | $136.80 | $259.33 | |
United
| Professional | $75.62 | $116.21 | $270.26 |