| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.68 | $80.43 | $108.38 | |
Aetna
| Professional | $28.68 | $28.68 | $28.68 | |
CareFirst
| Professional | $28.52 | $43.77 | $74.02 | |
Cigna
| Facility | $27.06 | $27.06 | $28.68 | |
Kaiser Permanente
| Professional | $24.38 | $24.38 | $28.68 | |
United
| Professional | $26.10 | $28.68 | $46.48 |