| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.36 | $23.36 | $23.36 | |
Aetna
| Professional | $23.36 | $23.36 | $23.36 | |
CareFirst
| Professional | $24.46 | $24.46 | $24.46 | |
Cigna
| Professional | $25.55 | $25.55 | $25.55 | |
Kaiser Permanente
| Professional | $28.48 | $28.48 | $86.98 | |
United
| Professional | $14.58 | $21.86 | $30.97 |