| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.49 | $39.49 | $39.49 | |
Aetna
| Professional | $32.40 | $39.49 | $39.49 | |
CareFirst
| Professional | $150.78 | $150.78 | $200.54 | |
Cigna
| Professional | $35.19 | $35.19 | $61.91 | |
Kaiser Permanente
| Professional | $46.88 | $49.35 | $101.55 | |
United
| Professional | $36.61 | $47.95 | $130.74 |