| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.49 | $280.16 | $363.76 | |
Aetna
| Professional | $95.49 | $95.49 | $128.25 | |
CareFirst
| Professional | $130.26 | $130.26 | $159.47 | |
Cigna
| Professional | $111.36 | $111.36 | $111.36 | |
Kaiser Permanente
| Professional | $151.65 | $151.65 | $463.11 | |
United
| Professional | $77.59 | $116.39 | $174.88 |