| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.92 | $44.92 | $44.92 | |
Aetna
| Professional | $44.92 | $44.92 | $44.92 | |
CareFirst
| Professional | $44.96 | $44.96 | $45.44 | |
Cigna
| Professional | $33.95 | $33.95 | $33.95 | |
Kaiser Permanente
| Professional | $131.96 | $131.96 | $131.96 | |
United
| Professional | $22.11 | $33.17 | $46.99 |