| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.25 | $23.25 | $23.25 | |
Aetna
| Professional | $23.25 | $23.25 | $23.25 | |
CareFirst
| Professional | $23.27 | $23.27 | $23.51 | |
Cigna
| Professional | $17.55 | $17.55 | $17.55 | |
Kaiser Permanente
| Professional | $68.28 | $68.28 | $68.28 | |
United
| Professional | $11.44 | $17.16 | $24.31 |