| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $181.97 | |
Aetna
| Professional | $21.88 | $22.91 | $22.91 | |
CareFirst
| Professional | $21.38 | $23.44 | $25.70 | |
Cigna
| Facility | $47.86 | $50.12 | $112.20 | |
Kaiser Permanente
| Professional | $33.88 | $57.54 | $60.26 | |
United
| Facility | $35.48 | $35.48 | $35.48 | |
United
| Professional | $12.30 | $14.79 | $40.74 |