| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.06 | $36.06 | $36.06 | |
Aetna
| Professional | $33.47 | $36.06 | $42.60 | |
CareFirst
| Professional | $58.43 | $58.43 | $58.43 | |
Cigna
| Professional | $37.60 | $37.60 | $99.06 | |
Kaiser Permanente
| Professional | $39.19 | $60.29 | $118.97 | |
United
| Professional | $21.46 | $39.11 | $63.51 |