| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.96 | $121.02 | $403.41 | |
Aetna
| Professional | $53.08 | $53.08 | $53.08 | |
CareFirst
| Professional | $44.70 | $82.62 | $139.69 | |
Cigna
| Facility | $45.90 | $45.90 | $45.90 | |
Kaiser Permanente
| Professional | $45.12 | $45.12 | $53.08 | |
United
| Professional | $48.30 | $53.08 | $86.03 |