| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.72 | $102.72 | $102.72 | |
Aetna
| Professional | $98.49 | $102.72 | $102.72 | |
CareFirst
| Professional | $86.51 | $86.51 | $86.51 | |
Cigna
| Professional | $62.01 | $62.01 | $62.01 | |
Kaiser Permanente
| Professional | $144.38 | $301.70 | $301.70 | |
United
| Professional | $50.55 | $75.83 | $133.18 |