| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.09 | $37.09 | $37.09 | |
Aetna
| Professional | $35.56 | $37.09 | $37.09 | |
CareFirst
| Professional | $30.64 | $30.64 | $30.64 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
Kaiser Permanente
| Professional | $52.15 | $108.95 | $108.95 | |
United
| Professional | $23.27 | $29.46 | $48.09 |