| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.66 | $22.66 | $22.66 | |
Aetna
| Professional | $22.66 | $22.66 | $22.66 | |
CareFirst
| Professional | $19.07 | $19.07 | $22.92 | |
Cigna
| Professional | $18.04 | $18.04 | $18.04 | |
Kaiser Permanente
| Professional | $66.55 | $66.55 | $66.55 | |
United
| Professional | $9.98 | $16.73 | $29.38 |