| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.44 | $80.44 | $80.44 | |
Aetna
| Professional | $80.44 | $80.44 | $80.44 | |
CareFirst
| Professional | $84.25 | $84.25 | $84.25 | |
Cigna
| Professional | $73.02 | $73.02 | $73.02 | |
Kaiser Permanente
| Professional | $98.10 | $98.10 | $299.58 | |
United
| Professional | $50.20 | $75.29 | $106.67 |