| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.89 | $11.89 | $11.89 | |
Aetna
| Professional | $11.89 | $11.89 | $11.89 | |
CareFirst
| Professional | $10.01 | $10.01 | $12.03 | |
Cigna
| Professional | $10.57 | $10.57 | $10.57 | |
Kaiser Permanente
| Professional | $34.92 | $34.92 | $34.92 | |
United
| Professional | $5.85 | $8.77 | $11.41 |