| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.95 | $189.50 | $255.36 | |
Aetna
| Professional | $49.95 | $49.95 | $49.95 | |
CareFirst
| Professional | $49.95 | $71.51 | $120.92 | |
Cigna
| Facility | $47.12 | $47.12 | $49.95 | |
Kaiser Permanente
| Professional | $42.46 | $42.46 | $49.95 | |
United
| Professional | $45.45 | $49.95 | $80.95 |