| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.34 | $47.34 | $47.34 | |
Aetna
| Professional | $47.34 | $47.34 | $47.34 | |
CareFirst
| Professional | $67.83 | $67.83 | $67.83 | |
Cigna
| Facility | $47.34 | $47.34 | $47.34 | |
Kaiser Permanente
| Professional | $19.05 | $19.05 | $19.05 | |
United
| Professional | $42.23 | $46.41 | $81.09 |