| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.91 | $65.91 | $65.91 | |
Aetna
| Professional | $65.91 | $65.91 | $65.91 | |
CareFirst
| Professional | $86.00 | $86.00 | $110.08 | |
Cigna
| Professional | $65.44 | $65.44 | $65.44 | |
Kaiser Permanente
| Professional | $104.67 | $104.67 | $319.66 | |
United
| Professional | $53.56 | $74.87 | $120.70 |