| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $44.67 | $91.20 | |
Aetna
| Professional | $30.90 | $46.77 | $104.71 | |
CareFirst
| Professional | $34.67 | $34.67 | $34.67 | |
Cigna
| Professional | $33.11 | $33.11 | $33.11 | |
Kaiser Permanente
| Professional | $28.18 | $33.11 | $34.67 | |
United
| Facility | $33.11 | $33.11 | $33.11 | |
United
| Professional | $28.84 | $33.11 | $36.31 |