| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $63.10 | $134.90 | |
Aetna
| Professional | $15.14 | $19.95 | $79.43 | |
CareFirst
| Professional | $12.30 | $63.10 | $208.93 | |
Cigna
| Professional | $22.39 | $24.55 | $69.18 | |
Kaiser Permanente
| Professional | $26.92 | $26.92 | $47.86 | |
United
| Facility | $19.50 | $26.30 | $26.30 | |
United
| Professional | $16.98 | $26.30 | $66.07 |