| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.18 | $37.18 | $37.18 | |
Aetna
| Professional | $37.18 | $37.18 | $37.18 | |
CareFirst
| Professional | $50.72 | $50.72 | $50.72 | |
Cigna
| Professional | $41.29 | $41.29 | $41.29 | |
Kaiser Permanente
| Professional | $59.05 | $59.05 | $180.34 | |
United
| Professional | $30.22 | $45.32 | $95.33 |