| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.58 | $176.24 | $282.11 | |
Aetna
| Professional | $82.58 | $82.58 | $82.58 | |
CareFirst
| Professional | $82.43 | $120.35 | $203.50 | |
Cigna
| Facility | $77.90 | $77.90 | $82.57 | |
Kaiser Permanente
| Professional | $70.19 | $70.19 | $82.58 | |
United
| Professional | $75.15 | $82.58 | $133.84 |