| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.09 | $64.61 | $87.06 | |
Aetna
| Professional | $19.32 | $19.32 | $19.32 | |
CareFirst
| Professional | $19.32 | $32.21 | $54.46 | |
Cigna
| Facility | $18.23 | $18.23 | $19.32 | |
Kaiser Permanente
| Professional | $16.43 | $16.43 | $19.32 | |
United
| Professional | $17.59 | $19.32 | $31.33 |