| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.79 | $27.79 | $27.79 | |
Aetna
| Professional | $27.79 | $27.79 | $27.79 | |
CareFirst
| Professional | $23.41 | $23.41 | $28.11 | |
Cigna
| Professional | $24.70 | $24.70 | $24.70 | |
Kaiser Permanente
| Professional | $81.63 | $81.63 | $81.63 | |
United
| Professional | $13.68 | $20.51 | $33.95 |