| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.86 | $28.86 | $28.86 | |
Aetna
| Professional | $26.96 | $28.86 | $138.16 | |
CareFirst
| Professional | $40.00 | $40.00 | $102.55 | |
Cigna
| Professional | $28.27 | $44.21 | $82.89 | |
Kaiser Permanente
| Professional | $31.05 | $34.31 | $68.05 | |
United
| Professional | $22.52 | $31.85 | $77.95 |