| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $16.30 | |
Aetna
| Professional | $16.30 | $16.30 | $16.30 | |
CareFirst
| Professional | $14.84 | $14.84 | $14.84 | |
Cigna
| Facility | $13.99 | $13.99 | $13.99 | |
Kaiser Permanente
| Professional | $30.94 | $30.94 | $30.94 | |
United
| Professional | $13.25 | $13.38 | $17.42 |