| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.59 | $78.56 | $105.87 | |
Aetna
| Professional | $25.59 | $25.59 | $25.59 | |
CareFirst
| Professional | $25.59 | $40.28 | $68.09 | |
Cigna
| Facility | $24.14 | $24.14 | $25.59 | |
Kaiser Permanente
| Professional | $21.75 | $21.75 | $25.59 | |
United
| Professional | $23.29 | $25.59 | $41.48 |