| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.17 | $31.17 | $31.17 | |
Aetna
| Professional | $31.17 | $31.17 | $31.17 | |
CareFirst
| Professional | $41.00 | $41.00 | $52.06 | |
Cigna
| Professional | $26.81 | $26.81 | $26.81 | |
Kaiser Permanente
| Professional | $49.50 | $49.50 | $151.16 | |
United
| Professional | $25.33 | $37.99 | $59.14 |