| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.09 | $32.09 | $32.09 | |
Aetna
| Professional | $32.09 | $32.09 | $32.09 | |
CareFirst
| Professional | $41.65 | $41.65 | $41.65 | |
Cigna
| Facility | $41.64 | $41.64 | $41.64 | |
Kaiser Permanente
| Professional | $61.88 | $61.88 | $61.88 | |
United
| Professional | $42.90 | $47.14 | $76.40 |