| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.29 | $32.29 | $32.29 | |
Aetna
| Professional | $32.29 | $36.28 | $44.33 | |
CareFirst
| Professional | $14.66 | $22.44 | $39.22 | |
Cigna
| Professional | $16.30 | $19.53 | $47.85 | |
Kaiser Permanente
| Professional | $25.39 | $75.70 | $75.70 | |
United
| Professional | $46.44 | $80.12 | $165.12 |