| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.46 | $16.46 | $16.46 | |
Aetna
| Professional | $16.46 | $16.46 | $16.46 | |
CareFirst
| Professional | $17.25 | $17.30 | $21.11 | |
Cigna
| Professional | $21.37 | $21.37 | $21.37 | |
Kaiser Permanente
| Professional | $20.07 | $20.07 | $61.31 | |
United
| Professional | $10.28 | $15.41 | $21.84 |