| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.00 | $39.00 | $39.00 | |
Aetna
| Professional | $38.51 | $39.00 | $39.00 | |
CareFirst
| Professional | $36.65 | $36.65 | $36.65 | |
Cigna
| Professional | $31.73 | $31.73 | $31.73 | |
Kaiser Permanente
| Professional | $54.82 | $114.56 | $114.56 | |
United
| Professional | $19.19 | $28.79 | $50.57 |