| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.16 | $51.58 | $69.50 | |
Aetna
| Professional | $18.16 | $18.16 | $18.16 | |
CareFirst
| Professional | $18.16 | $27.44 | $46.40 | |
Cigna
| Facility | $17.13 | $17.13 | $18.16 | |
Kaiser Permanente
| Professional | $15.44 | $15.44 | $18.16 | |
United
| Professional | $16.53 | $18.16 | $29.43 |