| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.91 | $8.21 | $61.28 | |
Aetna
| Professional | $40.14 | $61.28 | $61.28 | |
CareFirst
| Professional | $80.00 | $80.00 | $102.36 | |
Cigna
| Professional | $63.25 | $63.25 | $63.25 | |
Kaiser Permanente
| Professional | $97.33 | $97.33 | $297.24 | |
United
| Professional | $49.80 | $67.45 | $112.24 |