| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.77 | $34.77 | $34.77 | |
Aetna
| Professional | $31.50 | $34.77 | $38.45 | |
CareFirst
| Professional | $29.27 | $29.27 | $29.27 | |
Cigna
| Professional | $20.99 | $20.99 | $20.99 | |
Kaiser Permanente
| Professional | $48.88 | $102.12 | $102.12 | |
United
| Professional | $17.11 | $25.66 | $45.08 |