| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.41 | $16.41 | $16.41 | |
Aetna
| Professional | $15.96 | $16.41 | $18.17 | |
CareFirst
| Professional | $20.07 | $20.07 | $26.71 | |
Cigna
| Professional | $16.42 | $21.40 | $73.02 | |
Kaiser Permanente
| Professional | $15.73 | $18.51 | $38.70 | |
United
| Professional | $14.24 | $17.48 | $46.56 |