| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.28 | $132.29 | $178.26 | |
Aetna
| Professional | $49.28 | $49.28 | $49.28 | |
CareFirst
| Professional | $46.92 | $61.22 | $103.51 | |
Cigna
| Facility | $46.49 | $46.49 | $49.28 | |
Kaiser Permanente
| Professional | $41.89 | $41.89 | $49.28 | |
United
| Professional | $44.84 | $49.28 | $79.87 |