| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.96 | $41.96 | $41.96 | |
Aetna
| Professional | $41.96 | $41.96 | $41.96 | |
CareFirst
| Professional | $53.86 | $53.86 | $70.08 | |
Cigna
| Professional | $49.61 | $49.61 | $49.61 | |
Kaiser Permanente
| Professional | $66.64 | $66.64 | $203.51 | |
United
| Professional | $34.10 | $51.14 | $76.84 |