| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.26 | $18.26 | $30.14 | |
Aetna
| Professional | $18.26 | $18.26 | $30.14 | |
CareFirst
| Professional | $16.85 | $20.27 | $603.00 | |
Cigna
| Professional | $14.97 | $24.36 | $54.01 | |
Kaiser Permanente
| Professional | $32.61 | $55.21 | $55.21 | |
United
| Professional | $21.76 | $34.67 | $74.43 |