| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.11 | $32.11 | $32.11 | |
Aetna
| Professional | $15.17 | $32.11 | $34.53 | |
CareFirst
| Professional | $27.03 | $27.03 | $27.03 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Kaiser Permanente
| Professional | $45.13 | $94.32 | $94.32 | |
United
| Professional | $15.80 | $23.70 | $41.63 |