| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.17 | $77.16 | $103.97 | |
Aetna
| Professional | $30.17 | $30.17 | $30.17 | |
CareFirst
| Professional | $27.36 | $51.02 | $86.27 | |
Cigna
| Facility | $28.46 | $28.46 | $30.17 | |
Kaiser Permanente
| Professional | $25.64 | $25.64 | $30.17 | |
United
| Professional | $27.45 | $30.17 | $48.90 |