| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.03 | $117.47 | $784.85 | |
Aetna
| Professional | $14.40 | $29.03 | $29.03 | |
CareFirst
| Professional | $27.69 | $32.15 | $134.40 | |
Cigna
| Professional | $39.09 | $84.63 | $116.06 | |
Kaiser Permanente
| Professional | $38.58 | $41.47 | $41.47 | |
United
| Professional | $29.21 | $45.53 | $87.44 |