| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.65 | $53.12 | $89.79 | |
Aetna
| Professional | $23.65 | $23.65 | $23.65 | |
CareFirst
| Professional | $23.63 | $35.69 | $60.35 | |
Cigna
| Facility | $22.31 | $22.31 | $23.65 | |
Kaiser Permanente
| Professional | $20.10 | $20.10 | $23.65 | |
United
| Professional | $21.52 | $23.65 | $38.33 |