| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.58 | $56.58 | $56.58 | |
Aetna
| Professional | $54.25 | $56.58 | $56.58 | |
CareFirst
| Professional | $47.65 | $47.65 | $47.65 | |
Cigna
| Professional | $34.15 | $34.15 | $34.15 | |
Kaiser Permanente
| Professional | $79.53 | $166.19 | $166.19 | |
United
| Professional | $27.84 | $41.77 | $73.36 |