| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.61 | $16.61 | $16.61 | |
Aetna
| Professional | $16.61 | $16.61 | $23.21 | |
CareFirst
| Professional | $19.55 | $19.55 | $56.98 | |
Cigna
| Professional | $18.77 | $32.36 | $74.81 | |
Kaiser Permanente
| Professional | $16.48 | $18.77 | $39.25 | |
United
| Professional | $14.71 | $22.96 | $49.82 |