| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.48 | $63.79 | $85.96 | |
Aetna
| Professional | $21.48 | $21.48 | $21.48 | |
CareFirst
| Professional | $21.49 | $33.68 | $56.94 | |
Cigna
| Facility | $20.27 | $20.27 | $21.48 | |
Kaiser Permanente
| Professional | $18.26 | $18.26 | $21.48 | |
United
| Professional | $19.55 | $21.48 | $34.81 |