| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.08 | $55.08 | $55.08 | |
Aetna
| Professional | $55.08 | $55.08 | $55.08 | |
CareFirst
| Professional | $35.47 | $35.47 | $35.47 | |
Cigna
| Facility | $55.08 | $55.08 | $55.08 | |
Kaiser Permanente
| Professional | $72.08 | $72.08 | $72.08 | |
United
| Professional | $49.14 | $54.00 | $87.52 |