| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.40 | $25.40 | $25.40 | |
Aetna
| Professional | $25.40 | $25.40 | $25.40 | |
CareFirst
| Professional | $26.00 | $26.00 | $32.58 | |
Cigna
| Professional | $21.74 | $21.74 | $21.74 | |
Kaiser Permanente
| Professional | $30.98 | $30.98 | $94.60 | |
United
| Professional | $15.85 | $23.77 | $33.68 |