| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.58 | $31.58 | $31.58 | |
Aetna
| Professional | $31.58 | $31.58 | $31.58 | |
CareFirst
| Professional | $32.00 | $33.20 | $40.50 | |
Cigna
| Professional | $27.03 | $27.03 | $27.03 | |
Kaiser Permanente
| Professional | $38.51 | $38.51 | $117.61 | |
United
| Professional | $19.71 | $29.56 | $41.88 |