| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.82 | $32.82 | $48.72 | |
Aetna
| Professional | $32.82 | $46.69 | $48.72 | |
CareFirst
| Professional | $43.73 | $43.73 | $54.66 | |
Cigna
| Professional | $37.36 | $71.97 | $185.79 | |
Kaiser Permanente
| Professional | $48.21 | $56.65 | $117.69 | |
United
| Professional | $41.14 | $71.50 | $120.26 |