| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $19.20 | |
Aetna
| Professional | $19.20 | $19.20 | $19.20 | |
CareFirst
| Professional | $21.02 | $21.02 | $21.02 | |
Cigna
| Facility | $11.89 | $11.89 | $11.89 | |
Kaiser Permanente
| Professional | $27.77 | $27.77 | $27.77 | |
United
| Professional | $25.48 | $25.74 | $33.50 |