| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.40 | $24.40 | $24.40 | |
Aetna
| Professional | $23.39 | $24.40 | $24.40 | |
CareFirst
| Professional | $20.53 | $20.53 | $20.53 | |
Cigna
| Professional | $14.73 | $14.73 | $14.73 | |
Kaiser Permanente
| Professional | $34.29 | $71.65 | $71.65 | |
United
| Professional | $12.01 | $17.55 | $31.63 |