| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.41 | $84.60 | $175.23 | |
Aetna
| Professional | $19.41 | $21.96 | $45.60 | |
CareFirst
| Professional | $26.37 | $27.77 | $73.59 | |
Cigna
| Professional | $21.93 | $38.19 | $87.76 | |
Kaiser Permanente
| Professional | $19.29 | $21.93 | $45.88 | |
United
| Professional | $17.80 | $29.33 | $59.27 |