| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.44 | $30.44 | $30.44 | |
Aetna
| Professional | $30.44 | $30.44 | $30.44 | |
CareFirst
| Professional | $28.65 | $28.65 | $28.65 | |
Cigna
| Facility | $33.42 | $33.42 | $33.42 | |
Kaiser Permanente
| Professional | $108.69 | $108.69 | $108.69 | |
United
| Professional | $30.43 | $34.74 | $42.97 |