| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.76 | $22.76 | $22.76 | |
Aetna
| Professional | $21.82 | $22.76 | $22.76 | |
CareFirst
| Professional | $19.14 | $19.14 | $19.14 | |
Cigna
| Professional | $13.74 | $13.74 | $13.74 | |
Kaiser Permanente
| Professional | $32.00 | $66.86 | $66.86 | |
United
| Professional | $14.74 | $21.61 | $29.51 |