| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.53 | $136.43 | $183.84 | |
Aetna
| Professional | $47.53 | $47.53 | $47.53 | |
CareFirst
| Professional | $47.52 | $74.31 | $125.66 | |
Cigna
| Facility | $44.83 | $44.83 | $47.52 | |
Kaiser Permanente
| Professional | $40.40 | $40.40 | $47.53 | |
United
| Professional | $47.05 | $47.53 | $47.53 |