| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.26 | $44.26 | $44.26 | |
Aetna
| Professional | $43.25 | $44.26 | $44.26 | |
CareFirst
| Professional | $33.99 | $33.99 | $37.04 | |
Cigna
| Professional | $36.31 | $36.31 | $36.31 | |
Kaiser Permanente
| Professional | $43.66 | $92.12 | $92.12 | |
United
| Professional | $30.56 | $47.93 | $116.66 |