| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.16 | $67.16 | $67.16 | |
Aetna
| Professional | $67.16 | $67.16 | $67.16 | |
CareFirst
| Professional | $75.31 | $75.31 | $75.31 | |
Cigna
| Facility | $74.02 | $74.02 | $74.02 | |
Kaiser Permanente
| Professional | $41.26 | $41.26 | $41.26 | |
United
| Professional | $65.43 | $74.68 | $94.81 |