| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.37 | $158.16 | $213.14 | |
Aetna
| Professional | $50.37 | $50.37 | $50.37 | |
CareFirst
| Professional | $50.36 | $93.39 | $157.91 | |
Cigna
| Facility | $47.51 | $47.51 | $50.37 | |
Kaiser Permanente
| Professional | $42.81 | $42.81 | $50.37 | |
United
| Professional | $49.87 | $56.92 | $74.15 |