| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $50.12 | $50.12 | |
Aetna
| Professional | $41.69 | $48.98 | $67.61 | |
CareFirst
| Professional | $44.67 | $50.12 | $54.95 | |
Cigna
| Professional | $38.90 | $52.48 | $177.83 | |
Kaiser Permanente
| Professional | $33.11 | $38.02 | $120.23 | |
United
| Professional | $42.66 | $67.61 | $125.89 |