| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.61 | $24.61 | $24.61 | |
Aetna
| Professional | $24.61 | $24.61 | $24.61 | |
CareFirst
| Professional | $24.71 | $24.71 | $24.71 | |
Cigna
| Professional | $22.33 | $22.33 | $22.33 | |
Kaiser Permanente
| Professional | $30.00 | $30.00 | $91.63 | |
United
| Facility | $67.73 | $67.73 | $67.73 | |
United
| Professional | $15.35 | $23.03 | $32.61 |