| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.75 | $48.75 | $48.75 | |
Aetna
| Professional | $45.57 | $48.75 | $51.58 | |
CareFirst
| Professional | $51.00 | $51.00 | $115.43 | |
Cigna
| Professional | $47.91 | $58.59 | $138.44 | |
Kaiser Permanente
| Professional | $52.92 | $58.49 | $113.20 | |
United
| Professional | $37.82 | $45.83 | $130.87 |