| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.98 | $64.98 | $64.98 | |
Aetna
| Professional | $64.98 | $64.98 | $64.98 | |
CareFirst
| Professional | $65.00 | $65.00 | $83.35 | |
Cigna
| Professional | $65.11 | $65.11 | $65.11 | |
Kaiser Permanente
| Professional | $79.25 | $79.25 | $242.03 | |
United
| Professional | $40.54 | $60.83 | $86.17 |