| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $18.20 | |
Aetna
| Professional | $15.14 | $18.20 | $23.99 | |
CareFirst
| Professional | $29.51 | $32.36 | $37.15 | |
Cigna
| Professional | $19.05 | $25.12 | $35.48 | |
Kaiser Permanente
| Professional | $30.90 | $43.65 | $54.95 | |
United
| Facility | $12.02 | $30.20 | $67.61 | |
United
| Professional | $7.76 | $11.75 | $25.12 |