| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.19 | $122.08 | $164.50 | |
Aetna
| Professional | $43.19 | $43.19 | $43.19 | |
CareFirst
| Professional | $43.20 | $68.08 | $115.12 | |
Cigna
| Facility | $40.75 | $40.75 | $43.19 | |
Kaiser Permanente
| Professional | $36.71 | $36.71 | $43.19 | |
United
| Professional | $43.19 | $43.19 | $70.00 |