| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.85 | $19.85 | $19.85 | |
Aetna
| Professional | $19.03 | $19.85 | $19.85 | |
CareFirst
| Professional | $16.39 | $16.39 | $16.39 | |
Cigna
| Professional | $15.00 | $15.00 | $15.00 | |
Kaiser Permanente
| Professional | $27.91 | $58.32 | $58.32 | |
United
| Professional | $12.46 | $15.77 | $25.74 |