| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.42 | $27.42 | $27.42 | |
Aetna
| Professional | $25.54 | $27.42 | $27.42 | |
CareFirst
| Professional | $18.23 | $20.25 | $22.50 | |
Cigna
| Professional | $25.77 | $43.65 | $117.89 | |
Kaiser Permanente
| Professional | $30.60 | $35.43 | $63.91 | |
United
| Professional | $33.18 | $54.84 | $135.94 |