| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.41 | $66.20 | $66.20 | |
Aetna
| Professional | $45.41 | $45.41 | $66.64 | |
CareFirst
| Professional | $59.00 | $59.00 | $59.00 | |
Cigna
| Professional | $64.86 | $64.86 | $64.86 | |
Kaiser Permanente
| Professional | $72.12 | $72.12 | $220.24 | |
United
| Professional | $36.90 | $55.35 | $83.16 |