| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.33 | $336.91 | $453.99 | |
Aetna
| Professional | $25.33 | $25.33 | $25.33 | |
CareFirst
| Professional | $25.33 | $198.33 | $335.36 | |
Cigna
| Facility | $23.90 | $23.90 | $25.33 | |
Kaiser Permanente
| Professional | $21.53 | $21.53 | $25.33 | |
United
| Professional | $25.33 | $28.20 | $36.77 |