| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.88 | $31.88 | $31.88 | |
Aetna
| Professional | $30.57 | $31.88 | $31.88 | |
CareFirst
| Professional | $26.86 | $26.86 | $26.86 | |
Cigna
| Professional | $19.25 | $19.25 | $19.25 | |
Kaiser Permanente
| Professional | $44.82 | $93.65 | $93.65 | |
United
| Professional | $15.69 | $23.54 | $41.34 |