| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.62 | $26.62 | $26.62 | |
Aetna
| Professional | $26.62 | $26.62 | $26.62 | |
CareFirst
| Professional | $26.64 | $26.64 | $26.92 | |
Cigna
| Professional | $16.07 | $16.07 | $22.16 | |
Kaiser Permanente
| Professional | $78.18 | $78.18 | $78.18 | |
United
| Professional | $13.10 | $19.64 | $27.84 |