| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.98 | $50.98 | $50.98 | |
Aetna
| Professional | $45.50 | $50.98 | $56.07 | |
CareFirst
| Professional | $45.04 | $50.04 | $50.04 | |
Cigna
| Professional | $38.49 | $52.07 | $176.70 | |
Kaiser Permanente
| Professional | $36.70 | $45.16 | $118.89 | |
United
| Professional | $43.01 | $111.71 | $128.60 |