| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $66.07 | $81.28 | |
Aetna
| Professional | $20.89 | $20.89 | $70.79 | |
CareFirst
| Professional | $28.84 | $33.11 | $69.18 | |
Cigna
| Facility | $28.18 | $28.18 | $28.18 | |
Kaiser Permanente
| Professional | $18.20 | $18.20 | $21.38 | |
United
| Facility | $21.38 | $21.38 | $21.38 | |
United
| Professional | $21.38 | $21.38 | $34.67 |