| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.03 | $29.03 | $29.03 | |
Aetna
| Professional | $29.03 | $29.03 | $29.03 | |
CareFirst
| Professional | $29.06 | $29.06 | $29.06 | |
Cigna
| Professional | $21.94 | $21.94 | $21.94 | |
Kaiser Permanente
| Professional | $85.27 | $85.27 | $85.27 | |
United
| Professional | $14.29 | $21.43 | $31.46 |