| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $33.11 | |
Aetna
| Professional | $29.61 | $33.11 | $36.46 | |
CareFirst
| Professional | $29.79 | $33.10 | $33.10 | |
Cigna
| Professional | $25.17 | $34.06 | $86.76 | |
Kaiser Permanente
| Professional | $24.00 | $29.54 | $77.23 | |
United
| Professional | $27.78 | $73.08 | $84.72 |