| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.07 | $22.07 | $22.07 | |
Aetna
| Professional | $22.07 | $22.07 | $22.07 | |
CareFirst
| Professional | $21.02 | $21.02 | $21.02 | |
Cigna
| Facility | $21.82 | $21.82 | $21.82 | |
Kaiser Permanente
| Professional | $18.76 | $18.76 | $22.07 | |
United
| Professional | $19.52 | $22.28 | $28.78 |