| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.49 | $52.00 | $52.00 | |
Aetna
| Professional | $35.49 | $35.49 | $35.49 | |
CareFirst
| Professional | $48.43 | $48.43 | $48.43 | |
Cigna
| Professional | $40.89 | $40.89 | $40.89 | |
Kaiser Permanente
| Professional | $56.37 | $56.37 | $172.15 | |
United
| Professional | $28.84 | $43.27 | $91.00 |