| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.71 | $29.71 | $29.71 | |
Aetna
| Professional | $29.71 | $29.71 | $29.71 | |
CareFirst
| Professional | $26.59 | $26.59 | $26.59 | |
Cigna
| Facility | $29.33 | $29.33 | $29.33 | |
Kaiser Permanente
| Professional | $25.25 | $25.25 | $29.71 | |
United
| Professional | $25.19 | $28.75 | $37.54 |