| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.91 | $33.26 | $93.14 | |
Aetna
| Professional | $24.50 | $24.50 | $24.50 | |
CareFirst
| Professional | $24.50 | $24.50 | $24.51 | |
Cigna
| Facility | $23.11 | $23.11 | $24.50 | |
Kaiser Permanente
| Professional | $20.83 | $20.83 | $24.50 | |
United
| Professional | $22.30 | $24.50 | $39.71 |