| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $79.43 | |
Aetna
| Professional | $58.88 | $70.79 | $89.13 | |
CareFirst
| Professional | $74.13 | $77.62 | $85.11 | |
Cigna
| Professional | $61.66 | $79.43 | $169.82 | |
Kaiser Permanente
| Professional | $56.23 | $74.13 | $190.55 | |
United
| Professional | $63.10 | $109.65 | $177.83 |