| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.11 | $115.79 | $156.03 | |
Aetna
| Professional | $41.11 | $41.11 | $41.11 | |
CareFirst
| Professional | $41.06 | $69.38 | $117.32 | |
Cigna
| Facility | $38.78 | $38.78 | $41.11 | |
Kaiser Permanente
| Professional | $34.94 | $34.94 | $41.11 | |
United
| Professional | $37.40 | $41.11 | $66.63 |