| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $50.12 | $52.48 | $52.48 | |
CareFirst
| Professional | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $21.38 | $21.38 | $70.79 | |
Kaiser Permanente
| Professional | $58.88 | $63.10 | $120.23 | |
United
| Facility | $35.48 | $75.86 | $75.86 | |
United
| Professional | $23.44 | $35.48 | $58.88 |