| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.68 | $50.73 | $206.68 | |
Aetna
| Professional | $11.68 | $31.71 | $56.72 | |
CareFirst
| Professional | $13.77 | $13.77 | $13.77 | |
Cigna
| Professional | $13.14 | $53.32 | $155.84 | |
Kaiser Permanente
| Professional | $52.06 | $119.46 | $119.46 | |
United
| Professional | $39.97 | $112.96 | $145.75 |