| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $63.10 | $147.91 | |
Aetna
| Professional | $18.20 | $19.95 | $56.23 | |
CareFirst
| Professional | $20.42 | $22.39 | $27.54 | |
Cigna
| Professional | $19.05 | $22.39 | $42.66 | |
Kaiser Permanente
| Professional | $22.91 | $26.30 | $48.98 | |
United
| Professional | $16.22 | $21.88 | $50.12 |