| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.27 | $33.92 | $102.87 | |
Aetna
| Professional | $25.27 | $25.27 | $25.27 | |
CareFirst
| Professional | $25.27 | $46.84 | $79.20 | |
Cigna
| Facility | $23.84 | $23.84 | $25.27 | |
Kaiser Permanente
| Professional | $21.48 | $21.48 | $25.27 | |
United
| Professional | $23.00 | $25.27 | $40.96 |