| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.02 | $48.02 | $48.02 | |
Aetna
| Professional | $48.02 | $48.02 | $48.02 | |
CareFirst
| Professional | $63.00 | $63.00 | $80.20 | |
Cigna
| Professional | $48.11 | $48.11 | $48.11 | |
Kaiser Permanente
| Professional | $76.26 | $76.26 | $232.89 | |
United
| Professional | $39.02 | $58.53 | $87.94 |