| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $37.15 | $39.81 | $44.67 | |
CareFirst
| Professional | $38.90 | $43.65 | $47.86 | |
Cigna
| Professional | $36.31 | $40.74 | $81.28 | |
Kaiser Permanente
| Professional | $40.74 | $46.77 | $91.20 | |
United
| Professional | $35.48 | $42.66 | $100.00 |