| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.83 | $44.83 | $44.83 | |
Aetna
| Professional | $44.83 | $44.83 | $44.83 | |
CareFirst
| Professional | $37.03 | $37.03 | $45.35 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Kaiser Permanente
| Professional | $131.68 | $131.68 | $131.68 | |
United
| Professional | $22.06 | $33.10 | $54.78 |