| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $38.42 | |
Aetna
| Professional | $15.94 | $25.03 | $38.42 | |
CareFirst
| Professional | $18.41 | $20.45 | $33.74 | |
Cigna
| Professional | $19.19 | $50.75 | $120.92 | |
Kaiser Permanente
| Professional | $42.30 | $91.53 | $91.53 | |
United
| Professional | $24.09 | $47.66 | $115.91 |