| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.67 | $22.67 | $22.67 | |
Aetna
| Professional | $22.67 | $22.67 | $32.67 | |
CareFirst
| Professional | $29.11 | $29.11 | $37.86 | |
Cigna
| Professional | $26.73 | $26.73 | $26.73 | |
Kaiser Permanente
| Professional | $36.01 | $36.01 | $109.97 | |
United
| Professional | $18.43 | $27.64 | $41.53 |