| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.57 | $47.57 | $47.57 | |
Aetna
| Professional | $44.07 | $47.57 | $47.57 | |
CareFirst
| Professional | $74.03 | $74.03 | $74.03 | |
Cigna
| Professional | $55.25 | $55.25 | $114.08 | |
Kaiser Permanente
| Professional | $53.70 | $82.62 | $163.04 | |
United
| Professional | $30.37 | $49.57 | $81.12 |