| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $25.70 | $213.80 | |
Aetna
| Professional | $23.99 | $25.70 | $28.18 | |
CareFirst
| Professional | $25.12 | $28.18 | $30.90 | |
Cigna
| Facility | $57.54 | $58.88 | $134.90 | |
Kaiser Permanente
| Professional | $40.74 | $40.74 | $70.79 | |
United
| Facility | $41.69 | $41.69 | $41.69 | |
United
| Professional | $14.79 | $15.85 | $43.65 |