| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.37 | $79.02 | $443.17 | |
Aetna
| Professional | $25.37 | $25.37 | $25.37 | |
CareFirst
| Professional | $25.37 | $33.83 | $57.20 | |
Cigna
| Facility | $23.93 | $23.93 | $25.37 | |
Kaiser Permanente
| Professional | $21.56 | $21.56 | $25.37 | |
United
| Professional | $23.09 | $25.37 | $41.12 |