| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.79 | $30.79 | $30.79 | |
Aetna
| Professional | $30.79 | $30.79 | $30.79 | |
CareFirst
| Professional | $31.00 | $31.00 | $39.49 | |
Cigna
| Professional | $27.27 | $27.27 | $27.27 | |
Kaiser Permanente
| Professional | $37.54 | $37.54 | $114.68 | |
United
| Professional | $19.21 | $28.82 | $40.83 |