| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.31 | $28.31 | $28.31 | |
Aetna
| Professional | $20.32 | $28.31 | $28.31 | |
CareFirst
| Professional | $23.83 | $23.83 | $23.83 | |
Cigna
| Professional | $17.09 | $17.09 | $17.09 | |
Kaiser Permanente
| Professional | $39.79 | $83.16 | $83.16 | |
United
| Professional | $13.93 | $20.90 | $36.71 |