| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $128.00 | |
Aetna
| Professional | $66.27 | $94.64 | $201.56 | |
CareFirst
| Professional | $62.77 | $71.48 | $247.68 | |
Cigna
| Professional | $73.25 | $124.71 | $285.05 | |
Kaiser Permanente
| Professional | $108.79 | $140.78 | $265.33 | |
United
| Professional | $75.04 | $117.59 | $278.58 |