| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.83 | $112.32 | $151.35 | |
Aetna
| Professional | $39.83 | $39.83 | $39.83 | |
CareFirst
| Professional | $39.82 | $62.09 | $104.99 | |
Cigna
| Facility | $37.57 | $37.57 | $39.83 | |
Kaiser Permanente
| Professional | $33.86 | $33.86 | $39.83 | |
United
| Professional | $36.25 | $39.83 | $47.77 |