| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.02 | $53.44 | $72.01 | |
Aetna
| Professional | $22.02 | $22.02 | $22.02 | |
CareFirst
| Professional | $18.95 | $32.14 | $54.35 | |
Cigna
| Facility | $20.77 | $20.77 | $22.02 | |
Kaiser Permanente
| Professional | $18.72 | $18.72 | $22.02 | |
United
| Professional | $22.02 | $22.02 | $31.76 |