| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.26 | $223.88 | $301.68 | |
Aetna
| Professional | $79.26 | $79.26 | $79.26 | |
CareFirst
| Professional | $79.26 | $120.24 | $203.31 | |
Cigna
| Facility | $74.77 | $74.77 | $79.26 | |
Kaiser Permanente
| Professional | $67.37 | $67.37 | $79.26 | |
United
| Professional | $72.13 | $79.26 | $128.46 |