| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.49 | $24.49 | $24.49 | |
Aetna
| Professional | $11.26 | $24.49 | $24.49 | |
CareFirst
| Professional | $20.23 | $20.23 | $24.77 | |
Cigna
| Professional | $17.71 | $17.71 | $17.71 | |
Kaiser Permanente
| Professional | $71.94 | $71.94 | $71.94 | |
United
| Professional | $12.05 | $18.07 | $29.92 |