| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.11 | $39.11 | $39.11 | |
Aetna
| Professional | $35.95 | $39.11 | $39.11 | |
CareFirst
| Professional | $43.50 | $43.50 | $44.80 | |
Cigna
| Professional | $36.65 | $40.82 | $119.38 | |
Kaiser Permanente
| Professional | $42.39 | $90.60 | $90.60 | |
United
| Professional | $35.35 | $42.64 | $114.73 |