| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $208.93 | |
Aetna
| Professional | $22.91 | $25.12 | $26.92 | |
CareFirst
| Professional | $24.55 | $26.92 | $29.51 | |
Cigna
| Facility | $54.95 | $57.54 | $128.82 | |
Kaiser Permanente
| Professional | $38.90 | $58.88 | $69.18 | |
United
| Facility | $40.74 | $40.74 | $40.74 | |
United
| Professional | $14.13 | $15.14 | $42.66 |