| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.50 | $49.50 | $49.50 | |
Aetna
| Professional | $49.50 | $49.50 | $49.50 | |
CareFirst
| Professional | $44.29 | $44.29 | $44.29 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Kaiser Permanente
| Professional | $42.08 | $42.08 | $49.50 | |
United
| Professional | $43.10 | $49.20 | $62.52 |