| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.30 | $51.35 | $69.20 | |
Aetna
| Professional | $18.30 | $18.30 | $18.30 | |
CareFirst
| Professional | $18.21 | $27.75 | $46.93 | |
Cigna
| Facility | $17.26 | $17.26 | $18.30 | |
Kaiser Permanente
| Professional | $15.56 | $15.56 | $18.30 | |
United
| Professional | $16.64 | $18.30 | $29.66 |