| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.61 | $73.87 | $698.53 | |
Aetna
| Professional | $24.61 | $36.27 | $55.99 | |
CareFirst
| Professional | $22.86 | $22.86 | $170.11 | |
Cigna
| Professional | $18.09 | $36.19 | $68.28 | |
Kaiser Permanente
| Professional | $53.00 | $117.90 | $117.90 | |
United
| Professional | $37.60 | $60.65 | $60.65 |