| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.61 | $68.50 | $92.30 | |
Aetna
| Professional | $23.61 | $23.61 | $23.61 | |
CareFirst
| Professional | $23.61 | $47.54 | $80.38 | |
Cigna
| Facility | $22.27 | $22.27 | $23.61 | |
Kaiser Permanente
| Professional | $20.07 | $20.07 | $23.61 | |
United
| Professional | $23.61 | $23.61 | $38.27 |