| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $58.88 | |
Aetna
| Professional | $21.88 | $61.66 | $177.83 | |
CareFirst
| Professional | $23.99 | $26.30 | $30.90 | |
Cigna
| Professional | $23.44 | $69.18 | $204.17 | |
Kaiser Permanente
| Professional | $22.91 | $70.79 | $154.88 | |
United
| Professional | $20.42 | $60.26 | $169.82 |