| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.59 | $99.59 | $99.59 | |
Aetna
| Professional | $95.49 | $99.59 | $99.59 | |
CareFirst
| Professional | $83.85 | $83.85 | $83.85 | |
Cigna
| Professional | $60.12 | $60.12 | $60.12 | |
Kaiser Permanente
| Professional | $140.00 | $292.55 | $292.55 | |
United
| Professional | $49.01 | $73.52 | $129.13 |