| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.79 | $40.79 | $40.79 | |
Aetna
| Professional | $40.79 | $40.79 | $40.79 | |
CareFirst
| Professional | $42.40 | $42.40 | $42.40 | |
Cigna
| Facility | $42.40 | $42.40 | $42.40 | |
Kaiser Permanente
| Professional | $23.01 | $23.01 | $23.01 | |
United
| Professional | $45.50 | $50.00 | $81.04 |