| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.72 | $36.72 | $36.72 | |
Aetna
| Professional | $36.72 | $36.72 | $36.72 | |
CareFirst
| Professional | $50.11 | $50.11 | $61.36 | |
Cigna
| Professional | $37.46 | $37.46 | $37.46 | |
Kaiser Permanente
| Professional | $58.34 | $58.34 | $178.17 | |
United
| Professional | $29.85 | $44.78 | $94.19 |