| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.54 | $85.54 | $129.25 | |
Aetna
| Professional | $62.33 | $85.54 | $129.25 | |
CareFirst
| Professional | $88.45 | $93.11 | $139.30 | |
Cigna
| Professional | $76.76 | $119.44 | $306.30 | |
Kaiser Permanente
| Professional | $76.56 | $111.69 | $308.32 | |
United
| Professional | $79.20 | $110.38 | $325.47 |