| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $57.95 | $64.61 | |
Aetna
| Professional | $30.57 | $30.57 | $30.57 | |
CareFirst
| Professional | $30.57 | $53.20 | $89.95 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Kaiser Permanente
| Professional | $69.45 | $69.45 | $69.45 | |
United
| Professional | $33.83 | $35.97 | $44.48 |