| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.22 | $24.22 | $24.22 | |
Aetna
| Professional | $24.22 | $24.22 | $24.22 | |
CareFirst
| Professional | $5.60 | $5.60 | $5.60 | |
Cigna
| Professional | $4.04 | $4.04 | $4.04 | |
Kaiser Permanente
| Professional | $10.00 | $10.00 | $10.00 |