| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.98 | $71.98 | $71.98 | |
Aetna
| Professional | $71.98 | $71.98 | $71.98 | |
CareFirst
| Professional | $60.24 | $60.24 | $60.24 | |
Cigna
| Facility | $60.25 | $60.25 | $60.25 | |
Kaiser Permanente
| Professional | $71.41 | $71.41 | $71.41 | |
United
| Professional | $64.22 | $70.56 | $114.38 |