| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.25 | $51.25 | $51.25 | |
Aetna
| Professional | $51.25 | $51.25 | $51.25 | |
CareFirst
| Professional | $61.11 | $61.11 | $68.16 | |
Cigna
| Professional | $43.91 | $43.91 | $43.91 | |
Kaiser Permanente
| Professional | $64.81 | $64.81 | $197.92 | |
United
| Professional | $33.15 | $49.73 | $74.73 |