| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.53 | $41.53 | $41.53 | |
Aetna
| Professional | $41.53 | $41.53 | $41.53 | |
CareFirst
| Professional | $42.00 | $42.00 | $53.26 | |
Cigna
| Professional | $32.81 | $32.81 | $32.81 | |
Kaiser Permanente
| Professional | $50.65 | $50.65 | $154.66 | |
United
| Professional | $25.91 | $38.86 | $55.06 |