| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $199.53 | |
Aetna
| Professional | $21.88 | $40.74 | $81.28 | |
CareFirst
| Professional | $25.12 | $36.31 | $117.49 | |
Cigna
| Professional | $25.70 | $43.65 | $100.00 | |
Kaiser Permanente
| Professional | $22.91 | $25.70 | $52.48 | |
United
| Professional | $21.38 | $32.36 | $57.54 |