| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.18 | $39.18 | $39.18 | |
Aetna
| Professional | $39.18 | $39.18 | $39.18 | |
CareFirst
| Professional | $53.44 | $53.44 | $65.44 | |
Cigna
| Professional | $51.45 | $51.45 | $51.45 | |
Kaiser Permanente
| Professional | $62.22 | $62.22 | $190.02 | |
United
| Professional | $31.84 | $47.75 | $71.75 |