| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.46 | $34.46 | $57.61 | |
Aetna
| Professional | $32.78 | $50.93 | $57.61 | |
CareFirst
| Professional | $37.70 | $41.89 | $45.66 | |
Cigna
| Professional | $39.69 | $103.48 | $181.57 | |
Kaiser Permanente
| Professional | $63.14 | $137.43 | $137.43 | |
United
| Professional | $37.17 | $104.13 | $174.04 |