| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.68 | $34.68 | $34.68 | |
Aetna
| Professional | $33.17 | $34.68 | $34.68 | |
CareFirst
| Professional | $35.04 | $35.04 | $35.04 | |
Cigna
| Professional | $28.69 | $28.69 | $28.69 | |
Kaiser Permanente
| Professional | $45.39 | $94.30 | $94.30 | |
United
| Professional | $16.94 | $28.28 | $41.62 |