| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.90 | $48.90 | $49.59 | |
Aetna
| Professional | $47.66 | $49.59 | $118.33 | |
CareFirst
| Professional | $53.96 | $59.96 | $65.36 | |
Cigna
| Professional | $54.23 | $127.39 | $210.06 | |
Kaiser Permanente
| Professional | $51.22 | $116.80 | $116.80 | |
United
| Professional | $44.09 | $71.26 | $147.91 |