| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.64 | $42.64 | $42.64 | |
Aetna
| Professional | $42.64 | $42.64 | $42.64 | |
CareFirst
| Professional | $43.00 | $43.00 | $43.00 | |
Cigna
| Professional | $37.77 | $37.77 | $37.77 | |
Kaiser Permanente
| Professional | $51.99 | $51.99 | $158.79 | |
United
| Professional | $26.60 | $39.90 | $56.53 |