| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.39 | $217.90 | $293.63 | |
Aetna
| Professional | $77.39 | $77.39 | $77.39 | |
CareFirst
| Professional | $77.26 | $117.02 | $197.87 | |
Cigna
| Facility | $73.01 | $73.01 | $77.39 | |
Kaiser Permanente
| Professional | $65.78 | $65.78 | $77.39 | |
United
| Professional | $76.62 | $77.39 | $100.48 |