| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.16 | $43.16 | $43.16 | |
Aetna
| Professional | $43.16 | $43.16 | $43.16 | |
CareFirst
| Professional | $92.00 | $92.00 | $92.00 | |
Cigna
| Professional | $27.70 | $27.70 | $27.70 | |
Kaiser Permanente
| Professional | $61.15 | $61.15 | $193.59 | |
United
| Professional | $38.57 | $64.51 | $96.93 |