| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.93 | $221.17 | $298.02 | |
Aetna
| Professional | $78.93 | $78.93 | $78.93 | |
CareFirst
| Professional | $78.43 | $125.28 | $211.84 | |
Cigna
| Facility | $74.47 | $74.47 | $78.93 | |
Kaiser Permanente
| Professional | $67.09 | $67.09 | $78.93 | |
United
| Professional | $71.83 | $78.93 | $127.93 |