| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $69.18 | $100.00 | |
Aetna
| Professional | $19.05 | $22.91 | $34.67 | |
CareFirst
| Professional | $19.95 | $51.29 | $169.82 | |
Cigna
| Professional | $22.39 | $26.92 | $85.11 | |
Kaiser Permanente
| Professional | $34.67 | $34.67 | $66.07 | |
United
| Facility | $26.92 | $33.88 | $33.88 | |
United
| Professional | $22.39 | $38.02 | $70.79 |