| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.48 | $116.75 | $157.32 | |
Aetna
| Professional | $42.48 | $42.48 | $42.48 | |
CareFirst
| Professional | $41.40 | $65.27 | $110.37 | |
Cigna
| Facility | $40.07 | $40.07 | $42.48 | |
Kaiser Permanente
| Professional | $36.11 | $36.11 | $42.48 | |
United
| Professional | $38.65 | $42.48 | $68.84 |