| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.86 | $112.46 | $151.54 | |
Aetna
| Professional | $39.86 | $39.86 | $39.86 | |
CareFirst
| Professional | $39.86 | $60.13 | $101.67 | |
Cigna
| Facility | $37.61 | $37.61 | $39.86 | |
Kaiser Permanente
| Professional | $33.89 | $33.89 | $39.86 | |
United
| Professional | $36.28 | $39.86 | $64.62 |