| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.50 | $38.50 | $38.50 | |
Aetna
| Professional | $38.50 | $38.50 | $38.50 | |
CareFirst
| Professional | $32.42 | $32.42 | $38.94 | |
Cigna
| Professional | $23.24 | $23.24 | $23.24 | |
Kaiser Permanente
| Professional | $113.08 | $113.08 | $113.08 | |
United
| Professional | $18.95 | $28.42 | $49.91 |