| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.08 | $128.44 | $313.64 | |
Aetna
| Professional | $53.08 | $53.08 | $53.08 | |
CareFirst
| Professional | $44.70 | $82.62 | $139.69 | |
Cigna
| Facility | $47.49 | $47.49 | $47.49 | |
Kaiser Permanente
| Professional | $45.12 | $45.12 | $53.08 | |
United
| Professional | $53.08 | $53.08 | $86.03 |