| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.81 | $28.81 | $28.81 | |
Aetna
| Professional | $27.62 | $28.81 | $28.81 | |
CareFirst
| Professional | $24.25 | $24.25 | $24.25 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
Kaiser Permanente
| Professional | $40.51 | $84.64 | $84.64 | |
United
| Professional | $14.18 | $21.27 | $37.36 |