| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.58 | $165.96 | $744.81 | |
Aetna
| Professional | $68.58 | $68.58 | $68.58 | |
CareFirst
| Professional | $71.84 | $71.84 | $87.96 | |
Cigna
| Professional | $88.96 | $88.96 | $88.96 | |
Kaiser Permanente
| Professional | $83.64 | $83.64 | $255.41 | |
United
| Professional | $42.80 | $64.19 | $90.94 |