| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.61 | $86.86 | $117.04 | |
Aetna
| Professional | $28.61 | $28.61 | $28.61 | |
CareFirst
| Professional | $28.61 | $44.72 | $75.61 | |
Cigna
| Facility | $26.99 | $26.99 | $28.61 | |
Kaiser Permanente
| Professional | $24.32 | $24.32 | $28.61 | |
United
| Professional | $28.61 | $28.61 | $46.37 |