| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.31 | $134.80 | $181.64 | |
Aetna
| Professional | $45.31 | $45.31 | $45.31 | |
CareFirst
| Professional | $45.32 | $70.16 | $118.63 | |
Cigna
| Facility | $42.75 | $42.75 | $45.31 | |
Kaiser Permanente
| Professional | $38.51 | $38.51 | $45.31 | |
United
| Professional | $44.86 | $45.31 | $58.83 |