| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $154.88 | |
Aetna
| Professional | $15.85 | $19.05 | $22.91 | |
CareFirst
| Professional | $18.20 | $19.95 | $22.39 | |
Cigna
| Facility | $40.74 | $42.66 | $95.50 | |
Kaiser Permanente
| Professional | $25.12 | $26.92 | $51.29 | |
United
| Facility | $30.20 | $30.20 | $30.20 | |
United
| Professional | $11.22 | $11.75 | $22.91 |