| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.10 | $16.10 | $16.10 | |
Aetna
| Professional | $14.71 | $16.10 | $17.82 | |
CareFirst
| Professional | $19.71 | $19.71 | $26.21 | |
Cigna
| Professional | $14.62 | $18.82 | $71.58 | |
Kaiser Permanente
| Professional | $15.44 | $18.16 | $37.99 | |
United
| Professional | $11.79 | $16.30 | $48.11 |