| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.72 | $94.87 | $200.00 | |
Aetna
| Professional | $40.72 | $40.72 | $40.72 | |
CareFirst
| Professional | $46.46 | $46.46 | $46.80 | |
Cigna
| Facility | $43.83 | $43.83 | $43.83 | |
Kaiser Permanente
| Professional | $68.23 | $68.23 | $68.23 | |
United
| Professional | $39.15 | $42.66 | $51.49 |