| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.78 | $99.41 | $206.31 | |
Aetna
| Professional | $23.78 | $24.17 | $38.94 | |
CareFirst
| Professional | $32.04 | $32.04 | $76.03 | |
Cigna
| Professional | $26.80 | $46.76 | $120.69 | |
Kaiser Permanente
| Professional | $23.31 | $26.80 | $55.25 | |
United
| Professional | $20.89 | $35.70 | $60.01 |