| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.13 | $43.31 | $619.38 | |
Aetna
| Professional | $18.59 | $18.59 | $18.59 | |
CareFirst
| Professional | $18.59 | $26.04 | $50.11 | |
Cigna
| Facility | $17.54 | $17.54 | $18.59 | |
Kaiser Permanente
| Professional | $15.80 | $15.80 | $18.59 | |
United
| Professional | $16.92 | $18.59 | $30.13 |