| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.65 | $37.65 | $37.65 | |
Aetna
| Professional | $37.65 | $37.65 | $37.65 | |
CareFirst
| Professional | $39.43 | $39.43 | $48.29 | |
Cigna
| Professional | $34.18 | $34.18 | $34.18 | |
Kaiser Permanente
| Professional | $45.92 | $45.92 | $140.22 | |
United
| Professional | $23.49 | $35.24 | $49.92 |