| 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 | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $20.81 | $20.81 | $20.81 | |
Kaiser Permanente
| Professional | $89.95 | $89.95 | $89.95 | |
United
| Professional | $14.21 | $21.32 | $35.28 |