| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.85 | $67.39 | $100.70 | |
Aetna
| Professional | $27.85 | $27.85 | $27.85 | |
CareFirst
| Professional | $26.33 | $27.85 | $50.67 | |
Cigna
| Facility | $22.17 | $22.17 | $27.85 | |
Kaiser Permanente
| Professional | $23.67 | $23.67 | $27.85 | |
United
| Professional | $27.57 | $31.47 | $40.90 |