| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.03 | $136.54 | $184.00 | |
Aetna
| Professional | $49.03 | $49.03 | $49.03 | |
CareFirst
| Professional | $48.42 | $77.95 | $131.80 | |
Cigna
| Facility | $46.26 | $46.26 | $49.03 | |
Kaiser Permanente
| Professional | $41.68 | $41.68 | $49.03 | |
United
| Professional | $44.62 | $49.03 | $79.47 |