| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.80 | $31.80 | $31.80 | |
Aetna
| Professional | $27.97 | $31.80 | $31.86 | |
CareFirst
| Professional | $20.00 | $30.82 | $68.09 | |
Cigna
| Professional | $10.65 | $132.04 | $167.21 | |
Kaiser Permanente
| Professional | $35.15 | $38.86 | $77.41 | |
United
| Professional | $19.64 | $30.34 | $89.87 |