| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.32 | $41.32 | $41.32 | |
Aetna
| Professional | $39.61 | $41.32 | $41.32 | |
CareFirst
| Professional | $34.78 | $34.78 | $34.78 | |
Cigna
| Professional | $24.95 | $24.95 | $24.95 | |
Kaiser Permanente
| Professional | $58.08 | $121.37 | $121.37 | |
United
| Professional | $20.34 | $30.50 | $53.58 |