| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $30.57 | $30.57 | |
Aetna
| Professional | $30.57 | $30.57 | $30.57 | |
CareFirst
| Professional | $23.74 | $23.74 | $30.98 | |
Cigna
| Professional | $21.27 | $21.27 | $21.27 | |
Kaiser Permanente
| Professional | $89.95 | $89.95 | $89.95 | |
United
| Professional | $14.21 | $21.32 | $35.28 |