| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $85.11 | $151.36 | $295.12 | |
CareFirst
| Professional | $70.79 | $75.86 | $251.19 | |
Cigna
| Professional | $79.43 | $120.23 | $281.84 | |
Kaiser Permanente
| Professional | $123.03 | $144.54 | $181.97 | |
United
| Facility | $75.86 | $75.86 | $100.00 | |
United
| Professional | $75.86 | $117.49 | $229.09 |