| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.60 | $21.60 | $37.74 | |
Aetna
| Professional | $37.74 | $37.74 | $37.74 | |
CareFirst
| Professional | $11.52 | $11.52 | $11.52 | |
Cigna
| Facility | $37.74 | $37.74 | $37.74 | |
Kaiser Permanente
| Professional | $126.94 | $126.94 | $126.94 | |
United
| Professional | $33.67 | $37.00 | $59.97 |