| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.38 | $46.38 | $46.38 | |
Aetna
| Professional | $36.50 | $46.38 | $46.38 | |
CareFirst
| Professional | $61.00 | $61.00 | $61.00 | |
Cigna
| Professional | $51.68 | $51.68 | $51.68 | |
Kaiser Permanente
| Professional | $73.65 | $73.65 | $224.92 | |
United
| Professional | $37.68 | $56.53 | $84.93 |