| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.02 | $92.60 | $132.90 | |
Aetna
| Professional | $39.81 | $39.81 | $39.81 | |
CareFirst
| Professional | $49.34 | $59.60 | $100.77 | |
Cigna
| Facility | $37.56 | $37.56 | $54.60 | |
Kaiser Permanente
| Professional | $33.84 | $33.84 | $39.81 | |
United
| Professional | $48.56 | $55.43 | $69.14 |