| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.74 | $37.74 | $37.74 | |
Aetna
| Professional | $37.74 | $37.74 | $37.74 | |
CareFirst
| Professional | $38.00 | $39.69 | $48.41 | |
Cigna
| Professional | $27.19 | $27.19 | $27.19 | |
Kaiser Permanente
| Professional | $46.03 | $46.03 | $140.56 | |
United
| Professional | $23.55 | $35.33 | $50.05 |