| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.75 | $18.75 | $18.75 | |
Aetna
| Professional | $18.75 | $18.75 | $18.75 | |
CareFirst
| Professional | $39.28 | $39.28 | $39.28 | |
Cigna
| Professional | $21.94 | $21.94 | $21.94 | |
Kaiser Permanente
| Professional | $26.57 | $26.57 | $84.09 | |
United
| Professional | $16.76 | $28.03 | $39.51 |