| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.68 | $42.18 | $52.06 | |
Aetna
| Professional | $18.68 | $18.68 | $18.68 | |
CareFirst
| Professional | $18.68 | $32.51 | $54.96 | |
Cigna
| Facility | $20.65 | $20.65 | $20.65 | |
Kaiser Permanente
| Professional | $42.44 | $42.44 | $42.44 | |
United
| Professional | $20.67 | $21.98 | $27.18 |