| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.15 | $46.15 | $46.15 | |
Aetna
| Professional | $46.15 | $46.15 | $60.49 | |
CareFirst
| Professional | $60.00 | $60.00 | $77.08 | |
Cigna
| Professional | $49.80 | $49.80 | $49.80 | |
Kaiser Permanente
| Professional | $73.29 | $73.29 | $223.84 | |
United
| Professional | $37.50 | $56.26 | $84.52 |