| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.49 | $85.02 | $95.70 | |
Aetna
| Professional | $36.49 | $38.00 | $56.73 | |
CareFirst
| Professional | $40.90 | $45.44 | $49.53 | |
Cigna
| Professional | $40.57 | $95.95 | $159.69 | |
Kaiser Permanente
| Professional | $38.32 | $87.59 | $87.59 | |
United
| Professional | $33.75 | $95.01 | $112.88 |