| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.73 | $25.73 | $25.73 | |
Aetna
| Professional | $24.67 | $25.73 | $25.73 | |
CareFirst
| Professional | $21.26 | $21.26 | $21.26 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
Kaiser Permanente
| Professional | $36.17 | $75.58 | $75.58 | |
United
| Professional | $12.66 | $19.00 | $33.36 |