| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.02 | $35.02 | $35.02 | |
Aetna
| Professional | $35.02 | $35.02 | $69.45 | |
CareFirst
| Professional | $73.81 | $73.81 | $73.81 | |
Cigna
| Professional | $62.03 | $62.03 | $62.03 | |
Kaiser Permanente
| Professional | $49.13 | $49.13 | $149.18 | |
United
| Professional | $36.90 | $55.35 | $78.86 |