| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.73 | $31.73 | $31.73 | |
Aetna
| Professional | $31.73 | $31.73 | $45.47 | |
CareFirst
| Professional | $42.00 | $42.00 | $53.00 | |
Cigna
| Professional | $35.76 | $35.76 | $35.76 | |
Kaiser Permanente
| Professional | $50.40 | $50.40 | $153.91 | |
United
| Professional | $25.79 | $38.68 | $72.42 |