| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.62 | $49.62 | $49.62 | |
Aetna
| Professional | $49.62 | $49.62 | $49.62 | |
CareFirst
| Professional | $50.27 | $50.27 | $50.27 | |
Cigna
| Facility | $49.62 | $49.62 | $49.62 | |
Kaiser Permanente
| Professional | $55.53 | $55.53 | $55.53 | |
United
| Professional | $44.27 | $48.65 | $78.84 |