| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.37 | $24.37 | $24.37 | |
Aetna
| Professional | $24.37 | $24.37 | $24.37 | |
CareFirst
| Professional | $20.52 | $20.52 | $24.65 | |
Cigna
| Professional | $18.80 | $18.80 | $18.80 | |
Kaiser Permanente
| Professional | $71.56 | $71.56 | $71.56 | |
United
| Professional | $10.42 | $17.98 | $29.77 |