| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.61 | $51.27 | $123.43 | |
Aetna
| Professional | $20.92 | $26.62 | $26.62 | |
CareFirst
| Professional | $26.59 | $26.91 | $177.60 | |
Cigna
| Professional | $30.02 | $81.02 | $116.06 | |
Kaiser Permanente
| Professional | $35.15 | $37.74 | $37.74 | |
United
| Professional | $24.17 | $40.44 | $85.30 |