| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $41.69 | |
Aetna
| Professional | $41.69 | $41.69 | $42.66 | |
CareFirst
| Professional | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $39.81 | $39.81 | $63.10 | |
Kaiser Permanente
| Professional | $52.48 | $54.95 | $104.71 | |
United
| Facility | $30.90 | $66.07 | $66.07 | |
United
| Professional | $20.89 | $30.90 | $51.29 |