| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.20 | $71.20 | $80.98 | |
Aetna
| Professional | $64.36 | $75.30 | $83.71 | |
CareFirst
| Professional | $74.02 | $77.91 | $87.53 | |
Cigna
| Professional | $62.24 | $83.00 | $191.94 | |
Kaiser Permanente
| Professional | $59.35 | $73.05 | $190.99 | |
United
| Professional | $63.48 | $164.29 | $201.61 |