| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $128.00 | |
Aetna
| Professional | $78.02 | $101.78 | $218.13 | |
CareFirst
| Professional | $68.42 | $77.68 | $273.12 | |
Cigna
| Professional | $81.84 | $135.91 | $306.60 | |
Kaiser Permanente
| Professional | $115.44 | $149.38 | $281.67 | |
United
| Professional | $81.87 | $128.19 | $296.64 |