| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.68 | $48.68 | $48.68 | |
Aetna
| Professional | $48.68 | $48.68 | $48.68 | |
CareFirst
| Professional | $49.00 | $49.00 | $62.43 | |
Cigna
| Professional | $43.71 | $43.71 | $43.71 | |
Kaiser Permanente
| Professional | $59.36 | $59.36 | $181.28 | |
United
| Professional | $30.37 | $45.56 | $64.54 |