| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.65 | $20.65 | $376.93 | |
Aetna
| Professional | $20.65 | $56.06 | $376.93 | |
CareFirst
| Professional | $19.36 | $19.36 | $21.10 | |
Cigna
| Professional | $20.48 | $69.94 | $1,205.82 | |
Kaiser Permanente
| Professional | $347.95 | $839.00 | $839.00 | |
United
| Professional | $51.28 | $312.18 | $416.24 |