| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.81 | $20.81 | $20.81 | |
Aetna
| Professional | $20.81 | $20.81 | $20.81 | |
CareFirst
| Professional | $32.00 | $32.00 | $34.76 | |
Cigna
| Professional | $26.52 | $26.52 | $26.52 | |
Kaiser Permanente
| Professional | $33.04 | $33.04 | $100.92 | |
United
| Professional | $16.91 | $25.37 | $47.48 |