| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.68 | $28.68 | $47.68 | |
Aetna
| Professional | $28.52 | $44.82 | $50.91 | |
CareFirst
| Professional | $30.02 | $33.35 | $33.35 | |
Cigna
| Professional | $29.75 | $50.63 | $143.75 | |
Kaiser Permanente
| Professional | $25.88 | $42.77 | $116.86 | |
United
| Professional | $47.52 | $105.60 | $123.36 |