| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.65 | $24.65 | $24.65 | |
Aetna
| Professional | $23.64 | $24.65 | $59.89 | |
CareFirst
| Professional | $20.76 | $20.76 | $20.76 | |
Cigna
| Professional | $14.88 | $14.88 | $14.88 | |
Kaiser Permanente
| Professional | $34.65 | $72.40 | $72.40 | |
United
| Professional | $12.13 | $18.20 | $31.96 |