| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $21.88 | $23.99 | $23.99 | |
CareFirst
| Professional | $5.62 | $5.62 | $5.62 | |
Cigna
| Professional | $4.07 | $4.07 | $10.72 | |
Kaiser Permanente
| Professional | $10.00 | $10.00 | $10.00 |