| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.50 | $207.27 | $403.67 | |
Aetna
| Professional | $43.50 | $43.50 | $43.50 | |
CareFirst
| Professional | $46.40 | $253.59 | $579.91 | |
Cigna
| Professional | $66.48 | $66.48 | $83.12 | |
Kaiser Permanente
| Professional | $117.90 | $117.90 | $117.90 | |
United
| Professional | $34.03 | $36.72 | $52.78 |