| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.45 | $41.47 | $221.76 | |
Aetna
| Professional | $17.23 | $17.80 | $67.92 | |
CareFirst
| Professional | $18.55 | $20.61 | $34.01 | |
Cigna
| Professional | $20.14 | $53.25 | $91.99 | |
Kaiser Permanente
| Professional | $19.04 | $41.91 | $41.91 | |
United
| Facility | $626.17 | $652.16 | $724.06 | |
United
| Professional | $25.23 | $53.08 | $135.00 |