| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.60 | $19.60 | $19.60 | |
Aetna
| Professional | $19.60 | $19.60 | $19.60 | |
CareFirst
| Professional | $25.15 | $25.15 | $32.72 | |
Cigna
| Professional | $19.98 | $19.98 | $19.98 | |
Kaiser Permanente
| Professional | $31.12 | $31.12 | $95.03 | |
United
| Professional | $15.92 | $23.89 | $35.89 |