| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.27 | $97.75 | $595.73 | |
Aetna
| Professional | $31.27 | $31.27 | $31.27 | |
CareFirst
| Professional | $31.27 | $47.40 | $80.16 | |
Cigna
| Facility | $29.50 | $29.50 | $31.27 | |
Kaiser Permanente
| Professional | $26.58 | $26.58 | $31.27 | |
United
| Professional | $28.46 | $31.27 | $50.68 |