| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.35 | $37.92 | $96.10 | |
Aetna
| Professional | $30.35 | $30.35 | $39.67 | |
CareFirst
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $33.36 | $33.36 | $33.36 | |
Kaiser Permanente
| Professional | $48.20 | $48.20 | $147.21 | |
United
| Professional | $24.66 | $37.00 | $55.59 |