| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.11 | $125.46 | $169.06 | |
Aetna
| Professional | $44.11 | $44.11 | $44.11 | |
CareFirst
| Professional | $44.11 | $68.06 | $115.09 | |
Cigna
| Facility | $41.61 | $41.61 | $44.11 | |
Kaiser Permanente
| Professional | $37.49 | $37.49 | $44.11 | |
United
| Professional | $40.14 | $44.11 | $71.48 |