| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.64 | $27.64 | $27.64 | |
Aetna
| Professional | $27.64 | $27.64 | $27.64 | |
CareFirst
| Professional | $26.02 | $26.02 | $26.02 | |
Cigna
| Facility | $27.64 | $27.64 | $27.64 | |
Kaiser Permanente
| Professional | $50.78 | $50.78 | $50.78 | |
United
| Professional | $24.66 | $27.10 | $43.92 |