| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.80 | $230.39 | $310.45 | |
Aetna
| Professional | $78.80 | $78.80 | $78.80 | |
CareFirst
| Professional | $78.79 | $124.38 | $210.31 | |
Cigna
| Facility | $74.33 | $74.33 | $78.79 | |
Kaiser Permanente
| Professional | $66.98 | $66.98 | $78.80 | |
United
| Professional | $78.01 | $78.80 | $102.31 |