| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.24 | $29.24 | $29.24 | |
Aetna
| Professional | $12.69 | $29.24 | $29.24 | |
CareFirst
| Professional | $30.62 | $30.62 | $30.62 | |
Cigna
| Professional | $22.09 | $22.09 | $22.09 | |
Kaiser Permanente
| Professional | $41.11 | $85.90 | $85.90 | |
United
| Professional | $15.00 | $15.00 | $24.31 |