| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.33 | $29.33 | $29.33 | |
Aetna
| Professional | $29.33 | $29.33 | $29.33 | |
CareFirst
| Professional | $38.00 | $38.00 | $48.99 | |
Cigna
| Professional | $38.65 | $38.65 | $38.65 | |
Kaiser Permanente
| Professional | $46.59 | $46.59 | $142.27 | |
United
| Professional | $23.84 | $35.75 | $75.20 |