| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $16.98 | $19.05 | $25.12 | |
CareFirst
| Professional | $29.51 | $32.36 | $37.15 | |
Cigna
| Professional | $19.95 | $27.54 | $43.65 | |
Kaiser Permanente
| Professional | $19.05 | $27.54 | $33.88 | |
United
| Facility | $19.05 | $41.69 | $57.54 | |
United
| Professional | $26.30 | $37.15 | $63.10 |