| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.91 | $227.72 | $306.85 | |
Aetna
| Professional | $80.91 | $80.91 | $80.91 | |
CareFirst
| Professional | $80.75 | $120.80 | $204.26 | |
Cigna
| Facility | $76.33 | $76.33 | $80.91 | |
Kaiser Permanente
| Professional | $68.77 | $68.77 | $80.91 | |
United
| Professional | $73.63 | $80.91 | $131.13 |