| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.08 | $39.08 | $39.08 | |
Aetna
| Professional | $39.08 | $39.08 | $39.08 | |
CareFirst
| Professional | $39.00 | $39.00 | $39.00 | |
Cigna
| Professional | $33.44 | $33.44 | $33.44 | |
Kaiser Permanente
| Professional | $47.66 | $47.66 | $145.54 | |
United
| Professional | $24.38 | $36.58 | $51.82 |