| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.19 | $24.19 | $65.67 | |
Aetna
| Professional | $65.67 | $65.67 | $65.67 | |
CareFirst
| Professional | $65.68 | $114.26 | $193.21 | |
Cigna
| Facility | $72.25 | $72.25 | $72.25 | |
Kaiser Permanente
| Professional | $149.19 | $149.19 | $149.19 | |
United
| Professional | $72.67 | $82.94 | $95.54 |