| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.98 | $68.98 | $68.98 | |
Aetna
| Professional | $68.98 | $68.98 | $68.98 | |
CareFirst
| Professional | $94.11 | $94.11 | $115.23 | |
Cigna
| Professional | $76.09 | $76.09 | $76.09 | |
Kaiser Permanente
| Professional | $109.56 | $109.56 | $334.60 | |
United
| Professional | $56.06 | $84.10 | $126.35 |