| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $15.14 | $28.84 | $34.67 | |
CareFirst
| Professional | $25.70 | $25.70 | $30.20 | |
Cigna
| Professional | $21.38 | $24.55 | $29.51 | |
Kaiser Permanente
| Professional | $26.92 | $38.02 | $47.86 | |
United
| Facility | $33.88 | $44.67 | $109.65 | |
United
| Professional | $19.05 | $27.54 | $47.86 |