| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $26.92 | $269.15 | |
Aetna
| Professional | $22.91 | $38.90 | $100.00 | |
CareFirst
| Professional | $29.51 | $47.86 | $257.04 | |
Cigna
| Professional | $32.36 | $54.95 | $123.03 | |
Kaiser Permanente
| Professional | $28.18 | $32.36 | $64.57 | |
United
| Professional | $26.92 | $41.69 | $81.28 |