| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $177.83 | $218.78 | |
Aetna
| Professional | $56.23 | $57.54 | $58.88 | |
CareFirst
| Professional | $74.13 | $151.36 | $316.23 | |
Cigna
| Facility | $53.70 | $57.54 | $57.54 | |
Kaiser Permanente
| Professional | $48.98 | $48.98 | $57.54 | |
United
| Professional | $57.54 | $57.54 | $93.33 |