| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $97.72 | |
Aetna
| Professional | $12.02 | $16.98 | $208.93 | |
CareFirst
| Professional | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $23.99 | $25.12 | $38.02 | |
Kaiser Permanente
| Professional | $16.22 | $18.62 | $27.54 | |
United
| Professional | $12.30 | $19.95 | $36.31 |