| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.91 | $31.91 | $31.91 | |
Aetna
| Professional | $29.14 | $31.91 | $31.91 | |
CareFirst
| Professional | $27.94 | $27.94 | $34.93 | |
Cigna
| Professional | $34.19 | $34.19 | $40.96 | |
Kaiser Permanente
| Professional | $20.23 | $24.13 | $65.76 | |
United
| Professional | $22.00 | $36.67 | $80.22 |