| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.54 | $36.54 | $36.54 | |
Aetna
| Professional | $16.80 | $36.54 | $36.54 | |
CareFirst
| Professional | $30.19 | $30.19 | $36.97 | |
Cigna
| Professional | $26.43 | $26.43 | $26.43 | |
Kaiser Permanente
| Professional | $107.35 | $107.35 | $107.35 | |
United
| Professional | $17.98 | $26.98 | $44.65 |