| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.66 | $29.66 | $29.66 | |
Aetna
| Professional | $28.45 | $29.66 | $29.66 | |
CareFirst
| Professional | $24.98 | $24.98 | $24.98 | |
Cigna
| Professional | $17.91 | $17.91 | $17.91 | |
Kaiser Permanente
| Professional | $41.71 | $87.14 | $87.14 | |
United
| Professional | $14.60 | $21.90 | $38.47 |