| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.60 | $114.38 | $154.13 | |
Aetna
| Professional | $44.60 | $44.60 | $44.60 | |
CareFirst
| Professional | $40.57 | $59.66 | $100.89 | |
Cigna
| Facility | $42.07 | $42.07 | $44.60 | |
Kaiser Permanente
| Professional | $37.90 | $37.90 | $44.60 | |
United
| Professional | $40.59 | $44.60 | $72.29 |