| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.28 | $52.41 | $52.41 | |
Aetna
| Professional | $42.28 | $42.28 | $60.04 | |
CareFirst
| Professional | $68.72 | $68.72 | $70.62 | |
Cigna
| Professional | $44.68 | $44.68 | $44.68 | |
Kaiser Permanente
| Professional | $67.15 | $67.15 | $205.06 | |
United
| Facility | $153.43 | $153.43 | $153.43 | |
United
| Professional | $34.36 | $51.53 | $108.40 |