| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.33 | $55.33 | $55.33 | |
Aetna
| Professional | $55.33 | $55.33 | $55.33 | |
CareFirst
| Professional | $56.00 | $56.00 | $56.00 | |
Cigna
| Professional | $36.76 | $36.76 | $36.76 | |
Kaiser Permanente
| Professional | $67.47 | $67.47 | $206.05 | |
United
| Professional | $34.52 | $51.79 | $88.51 |