| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.14 | $212.99 | $456.84 | |
Aetna
| Professional | $93.45 | $93.45 | $125.54 | |
CareFirst
| Professional | $138.91 | $138.91 | $138.91 | |
Cigna
| Professional | $95.33 | $95.33 | $95.33 | |
Kaiser Permanente
| Professional | $148.41 | $148.41 | $453.23 | |
United
| Professional | $75.94 | $113.91 | $171.15 |