| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.73 | $27.73 | $27.73 | |
Aetna
| Professional | $26.59 | $27.73 | $27.73 | |
CareFirst
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $20.95 | $20.95 | $20.95 | |
Kaiser Permanente
| Professional | $38.99 | $81.47 | $81.47 | |
United
| Professional | $13.65 | $20.47 | $35.96 |