| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.83 | $49.83 | $49.83 | |
Aetna
| Professional | $47.77 | $49.83 | $49.83 | |
CareFirst
| Professional | $41.93 | $41.93 | $41.93 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
Kaiser Permanente
| Professional | $70.04 | $146.35 | $146.35 | |
United
| Professional | $24.52 | $36.79 | $64.59 |