| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.38 | $256.93 | $346.22 | |
Aetna
| Professional | $86.38 | $86.38 | $86.38 | |
CareFirst
| Professional | $86.38 | $214.24 | $362.25 | |
Cigna
| Facility | $81.48 | $81.48 | $86.38 | |
Kaiser Permanente
| Professional | $73.42 | $73.42 | $86.38 | |
United
| Professional | $78.61 | $86.38 | $140.53 |