| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.42 | $44.42 | $44.42 | |
Aetna
| Professional | $44.42 | $44.42 | $44.42 | |
CareFirst
| Professional | $40.29 | $40.29 | $40.29 | |
Cigna
| Professional | $33.56 | $33.56 | $33.56 | |
Kaiser Permanente
| Professional | $130.47 | $130.47 | $130.47 | |
United
| Professional | $21.86 | $32.79 | $54.27 |