| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.79 | $39.79 | $39.79 | |
Aetna
| Professional | $39.79 | $39.79 | $57.49 | |
CareFirst
| Professional | $52.00 | $52.00 | $66.47 | |
Cigna
| Professional | $45.85 | $45.85 | $45.85 | |
Kaiser Permanente
| Professional | $63.21 | $63.21 | $193.03 | |
United
| Professional | $32.34 | $48.51 | $72.89 |