| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.64 | $42.64 | $42.64 | |
Aetna
| Professional | $42.64 | $42.64 | $42.64 | |
CareFirst
| Professional | $38.68 | $38.68 | $43.13 | |
Cigna
| Professional | $32.22 | $32.22 | $32.22 | |
Kaiser Permanente
| Professional | $125.25 | $125.25 | $125.25 | |
United
| Professional | $20.99 | $31.48 | $52.11 |