| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.23 | $66.23 | $80.67 | |
Aetna
| Professional | $21.23 | $21.23 | $21.23 | |
CareFirst
| Professional | $26.40 | $33.04 | $55.88 | |
Cigna
| Facility | $28.21 | $28.21 | $28.21 | |
Kaiser Permanente
| Professional | $18.05 | $18.05 | $21.23 | |
United
| Professional | $19.32 | $21.23 | $34.40 |