| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.19 | $20.72 | $83.83 | |
Aetna
| Professional | $20.72 | $20.72 | $20.72 | |
CareFirst
| Professional | $20.71 | $32.36 | $54.74 | |
Cigna
| Facility | $19.54 | $19.54 | $20.72 | |
Kaiser Permanente
| Professional | $17.61 | $17.61 | $20.72 | |
United
| Professional | $20.72 | $20.72 | $33.58 |