| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.54 | $38.54 | $38.54 | |
Aetna
| Professional | $38.54 | $38.54 | $38.54 | |
CareFirst
| Professional | $50.00 | $50.00 | $50.00 | |
Cigna
| Professional | $42.95 | $42.95 | $42.95 | |
Kaiser Permanente
| Professional | $61.20 | $61.20 | $186.91 | |
United
| Professional | $31.32 | $46.98 | $70.59 |