| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.18 | $39.86 | $46.90 | |
Aetna
| Professional | $35.18 | $39.86 | $60.03 | |
Aetna
| Professional | 25 | $53.76 | $53.76 | $65.02 |
CareFirst
| Professional | $33.99 | $43.01 | $83.60 | |
Cigna
| Professional | $34.11 | $43.77 | $90.72 | |
Kaiser Permanente
| Professional | $51.86 | $109.28 | $109.28 | |
United
| Professional | $30.14 | $40.53 | $115.35 |