| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.99 | $45.99 | $45.99 | |
Aetna
| Professional | $45.99 | $45.99 | $45.99 | |
CareFirst
| Professional | $46.00 | $46.00 | $58.98 | |
Cigna
| Professional | $35.57 | $35.57 | $35.57 | |
Kaiser Permanente
| Professional | $56.08 | $56.08 | $171.28 | |
United
| Professional | $28.70 | $43.04 | $60.98 |