| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.49 | $35.49 | $35.49 | |
Aetna
| Professional | $35.49 | $35.49 | $47.67 | |
CareFirst
| Professional | $45.56 | $45.56 | $59.28 | |
Cigna
| Professional | $36.22 | $36.22 | $36.22 | |
Kaiser Permanente
| Professional | $56.37 | $56.37 | $172.15 | |
United
| Professional | $28.84 | $43.27 | $65.01 |