| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.30 | $26.30 | $26.30 | |
Aetna
| Professional | $26.30 | $26.30 | $26.30 | |
CareFirst
| Professional | $27.56 | $27.56 | $27.56 | |
Cigna
| Professional | $34.11 | $34.11 | $34.11 | |
Kaiser Permanente
| Professional | $32.08 | $32.08 | $97.96 | |
United
| Professional | $16.41 | $24.62 | $34.88 |