| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.80 | $15.80 | $15.80 | |
Aetna
| Professional | $14.38 | $15.80 | $17.50 | |
CareFirst
| Professional | $19.35 | $19.35 | $25.74 | |
Cigna
| Professional | $14.34 | $18.25 | $70.15 | |
Kaiser Permanente
| Professional | $15.15 | $17.82 | $37.28 | |
United
| Professional | $11.54 | $13.97 | $40.74 |