| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $23.99 | $26.92 | $66.07 | |
CareFirst
| Professional | $43.65 | $43.65 | $43.65 | |
Cigna
| Facility | $27.54 | $27.54 | $27.54 | |
Kaiser Permanente
| Professional | $46.77 | $46.77 | $46.77 | |
United
| Facility | $27.54 | $27.54 | $27.54 | |
United
| Professional | $26.92 | $29.51 | $36.31 |