| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.16 | $155.55 | $209.61 | |
Aetna
| Professional | $55.16 | $55.16 | $55.16 | |
CareFirst
| Professional | $55.15 | $83.18 | $140.63 | |
Cigna
| Facility | $52.04 | $52.04 | $55.16 | |
Kaiser Permanente
| Professional | $35.85 | $46.89 | $55.16 | |
United
| Professional | $50.20 | $55.16 | $55.16 |