| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.52 | $97.52 | $97.52 | |
Aetna
| Professional | $14.13 | $14.90 | $14.93 | |
CareFirst
| Professional | $21.27 | $21.27 | $21.27 | |
Cigna
| Professional | $23.98 | $25.20 | $37.82 | |
Kaiser Permanente
| Professional | $16.26 | $18.70 | $24.39 | |
United
| Professional | $12.34 | $16.75 | $44.50 |