| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.22 | $26.22 | $26.22 | |
Aetna
| Professional | $26.22 | $26.22 | $26.22 | |
CareFirst
| Professional | $34.00 | $34.00 | $34.00 | |
Cigna
| Professional | $22.56 | $22.56 | $22.56 | |
Kaiser Permanente
| Professional | $41.65 | $41.65 | $127.19 | |
United
| Professional | $21.31 | $31.96 | $48.02 |