| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.34 | $23.34 | $35.21 | |
Aetna
| Professional | $23.34 | $23.34 | $35.21 | |
CareFirst
| Professional | $21.09 | $24.49 | $603.00 | |
Cigna
| Professional | $18.29 | $27.55 | $59.15 | |
Kaiser Permanente
| Professional | $40.84 | $62.61 | $62.61 | |
United
| Professional | $24.95 | $62.46 | $84.41 |