| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.53 | $21.53 | $21.53 | |
Aetna
| Professional | $20.64 | $21.53 | $21.53 | |
CareFirst
| Professional | $17.78 | $17.78 | $17.78 | |
Cigna
| Professional | $16.27 | $16.27 | $16.27 | |
Kaiser Permanente
| Professional | $30.27 | $63.24 | $63.24 | |
United
| Professional | $10.60 | $15.89 | $27.91 |