| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.53 | $41.07 | $41.38 | |
Aetna
| Professional | $27.53 | $27.53 | $27.53 | |
CareFirst
| Professional | $55.08 | $55.08 | $55.08 | |
Cigna
| Professional | $42.10 | $42.10 | $42.10 | |
Kaiser Permanente
| Professional | $36.19 | $36.19 | $109.87 | |
United
| Professional | $32.82 | $45.88 | $58.08 |