| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.48 | $15.48 | $15.48 | |
Aetna
| Professional | $9.96 | $15.48 | $15.48 | |
CareFirst
| Professional | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $14.57 | $14.57 | $25.72 | |
Kaiser Permanente
| Professional | $17.37 | $20.44 | $42.06 | |
United
| Professional | $10.67 | $14.01 | $33.04 |