| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.54 | $101.27 | $136.46 | |
Aetna
| Professional | $35.54 | $35.54 | $35.54 | |
CareFirst
| Professional | $35.54 | $35.54 | $35.90 | |
Cigna
| Facility | $33.54 | $33.54 | $35.54 | |
Kaiser Permanente
| Professional | $30.22 | $30.22 | $35.54 | |
United
| Professional | $32.35 | $35.54 | $57.62 |