| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.00 | $54.00 | $54.00 | |
Aetna
| Professional | $54.00 | $54.00 | $54.00 | |
CareFirst
| Professional | $56.12 | $56.12 | $56.12 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Kaiser Permanente
| Professional | $90.46 | $90.46 | $90.46 | |
United
| Professional | $52.41 | $52.94 | $68.73 |