| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.39 | $47.86 | $109.65 | |
Aetna
| Professional | $19.05 | $25.70 | $53.70 | |
CareFirst
| Professional | $34.67 | $34.67 | $34.67 | |
Cigna
| Facility | $21.88 | $21.88 | $21.88 | |
Kaiser Permanente
| Professional | $33.11 | $33.11 | $33.11 | |
United
| Facility | $21.38 | $21.38 | $21.38 | |
United
| Professional | $21.38 | $23.44 | $28.84 |