| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $40.74 | |
Aetna
| Professional | $39.81 | $46.77 | $371.54 | |
CareFirst
| Professional | $45.71 | $50.12 | $645.65 | |
Cigna
| Professional | $48.98 | $67.61 | $177.83 | |
Kaiser Permanente
| Professional | $46.77 | $54.95 | $97.72 | |
United
| Professional | $33.11 | $83.18 | $123.03 |