| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.31 | $15.31 | $15.31 | |
Aetna
| Professional | $15.31 | $15.31 | $20.57 | |
CareFirst
| Professional | $27.82 | $27.82 | $27.82 | |
Cigna
| Professional | $18.10 | $18.10 | $18.10 | |
Kaiser Permanente
| Professional | $24.32 | $24.32 | $74.27 | |
United
| Professional | $12.44 | $18.67 | $39.26 |