| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.28 | $271.25 | $330.37 | |
Aetna
| Professional | $87.28 | $87.28 | $87.28 | |
CareFirst
| Professional | $84.33 | $84.33 | $84.33 | |
Cigna
| Facility | $82.34 | $82.34 | $87.28 | |
Kaiser Permanente
| Professional | $74.19 | $74.19 | $87.28 | |
United
| Professional | $79.42 | $87.28 | $141.46 |