| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.84 | $48.59 | $65.47 | |
Aetna
| Professional | $19.84 | $19.84 | $19.84 | |
CareFirst
| Professional | $17.23 | $37.40 | $63.25 | |
Cigna
| Facility | $18.72 | $18.72 | $19.84 | |
Kaiser Permanente
| Professional | $16.86 | $16.86 | $19.84 | |
United
| Professional | $19.84 | $19.84 | $32.15 |