| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.34 | $25.34 | $25.34 | |
Aetna
| Professional | $25.34 | $25.34 | $25.34 | |
CareFirst
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $16.22 | $16.22 | $16.22 | |
Kaiser Permanente
| Professional | $25.74 | $25.74 | $87.26 | |
United
| Professional | $12.91 | $19.37 | $27.44 |