| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.21 | $46.21 | $46.21 | |
Aetna
| Professional | $46.21 | $46.21 | $46.21 | |
CareFirst
| Professional | $87.59 | $87.59 | $87.59 | |
Cigna
| Professional | $55.98 | $55.98 | $55.98 | |
Kaiser Permanente
| Professional | $62.60 | $62.60 | $190.06 | |
United
| Professional | $52.19 | $78.29 | $100.71 |