| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.21 | $31.21 | $31.21 | |
Aetna
| Professional | $31.21 | $31.21 | $31.21 | |
CareFirst
| Professional | $41.00 | $41.00 | $52.12 | |
Cigna
| Professional | $39.50 | $39.50 | $39.50 | |
Kaiser Permanente
| Professional | $49.56 | $49.56 | $151.35 | |
United
| Professional | $25.36 | $38.04 | $59.21 |