| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.57 | $38.25 | $152.35 | |
Aetna
| Professional | $38.25 | $38.25 | $38.25 | |
CareFirst
| Professional | $36.00 | $36.00 | $36.00 | |
Cigna
| Facility | $38.25 | $38.25 | $38.25 | |
Kaiser Permanente
| Professional | $6.34 | $6.34 | $6.34 | |
United
| Professional | $34.13 | $37.50 | $60.78 |