| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.17 | $61.17 | $61.17 | |
Aetna
| Professional | $61.17 | $61.17 | $61.17 | |
CareFirst
| Professional | $80.00 | $80.00 | $102.17 | |
Cigna
| Professional | $54.82 | $54.82 | $54.82 | |
Kaiser Permanente
| Professional | $97.15 | $97.15 | $296.69 | |
United
| Professional | $49.71 | $74.56 | $112.03 |