| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.53 | $265.06 | $535.41 | |
Aetna
| Professional | $109.53 | $109.53 | $147.11 | |
CareFirst
| Professional | $149.40 | $149.40 | $182.95 | |
Cigna
| Professional | $98.55 | $98.55 | $98.55 | |
Kaiser Permanente
| Professional | $173.95 | $173.95 | $531.25 | |
United
| Professional | $89.01 | $133.51 | $280.83 |