| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.68 | $176.17 | $237.39 | |
Aetna
| Professional | $63.68 | $63.68 | $63.68 | |
CareFirst
| Professional | $62.47 | $84.94 | $143.63 | |
Cigna
| Facility | $60.08 | $60.08 | $63.68 | |
Kaiser Permanente
| Professional | $54.13 | $54.13 | $63.68 | |
United
| Professional | $63.04 | $63.68 | $82.68 |