| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.34 | $9.34 | $9.34 | |
Aetna
| Professional | $9.34 | $9.34 | $9.34 | |
CareFirst
| Professional | $10.99 | $16.25 | $27.48 | |
Cigna
| Facility | $10.33 | $10.33 | $10.33 | |
Kaiser Permanente
| Professional | $21.22 | $21.22 | $21.22 | |
United
| Professional | $10.34 | $11.80 | $13.19 |