| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $151.36 | |
Aetna
| Professional | $16.98 | $19.05 | $19.95 | |
CareFirst
| Professional | $18.20 | $19.95 | $21.88 | |
Cigna
| Facility | $40.74 | $42.66 | $95.50 | |
Kaiser Permanente
| Professional | $28.84 | $43.65 | $51.29 | |
United
| Facility | $30.20 | $30.20 | $30.20 | |
United
| Professional | $10.47 | $11.22 | $30.90 |