| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.39 | $41.39 | $41.39 | |
Aetna
| Professional | $41.39 | $41.39 | $41.39 | |
CareFirst
| Professional | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $34.40 | $34.40 | $34.40 | |
Kaiser Permanente
| Professional | $58.64 | $58.64 | $185.65 | |
United
| Professional | $36.99 | $61.87 | $92.95 |