| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.98 | $52.21 | $106.20 | |
Aetna
| Professional | $42.98 | $42.98 | $54.02 | |
CareFirst
| Professional | $56.00 | $56.00 | $71.79 | |
Cigna
| Professional | $42.34 | $42.34 | $42.34 | |
Kaiser Permanente
| Professional | $68.26 | $68.26 | $208.47 | |
United
| Professional | $34.93 | $52.40 | $78.73 |