| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.49 | $24.49 | $24.49 | |
Aetna
| Professional | $24.49 | $24.49 | $24.49 | |
CareFirst
| Professional | $33.42 | $33.42 | $40.90 | |
Cigna
| Professional | $24.98 | $24.98 | $24.98 | |
Kaiser Permanente
| Professional | $38.90 | $38.90 | $118.79 | |
United
| Professional | $19.89 | $29.24 | $46.47 |