| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.52 | $48.98 | $66.01 | |
Aetna
| Professional | $19.52 | $19.52 | $19.52 | |
CareFirst
| Professional | $17.36 | $30.39 | $51.39 | |
Cigna
| Facility | $18.42 | $18.42 | $19.52 | |
Kaiser Permanente
| Professional | $16.59 | $16.59 | $19.52 | |
United
| Professional | $17.76 | $19.52 | $31.64 |