| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.05 | $22.05 | $51.08 | |
Aetna
| Professional | $21.93 | $34.53 | $53.66 | |
CareFirst
| Professional | $24.31 | $24.31 | $31.85 | |
Cigna
| Professional | $23.38 | $57.78 | $130.29 | |
Kaiser Permanente
| Professional | $55.11 | $59.57 | $124.60 | |
United
| Professional | $35.70 | $49.76 | $142.41 |