| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.07 | $51.04 | $68.78 | |
Aetna
| Professional | $18.07 | $18.07 | $18.07 | |
CareFirst
| Professional | $18.07 | $26.98 | $45.62 | |
Cigna
| Facility | $17.05 | $17.05 | $18.07 | |
Kaiser Permanente
| Professional | $15.37 | $15.37 | $18.07 | |
United
| Professional | $16.45 | $18.07 | $29.30 |