| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.37 | $18.37 | $18.37 | |
Aetna
| Professional | $18.37 | $18.37 | $18.37 | |
CareFirst
| Professional | $23.58 | $23.58 | $30.68 | |
Cigna
| Professional | $19.78 | $19.78 | $19.78 | |
Kaiser Permanente
| Professional | $29.17 | $29.17 | $89.09 | |
United
| Professional | $14.93 | $22.39 | $28.81 |