| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.92 | $144.97 | $195.36 | |
Aetna
| Professional | $78.92 | $78.92 | $78.92 | |
CareFirst
| Professional | $51.41 | $86.61 | $146.44 | |
Cigna
| Facility | $74.45 | $74.45 | $78.92 | |
Kaiser Permanente
| Professional | $67.08 | $67.08 | $78.92 | |
United
| Professional | $78.13 | $83.66 | $116.17 |