| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.48 | $14.48 | $14.48 | |
Aetna
| Professional | $14.48 | $14.48 | $14.48 | |
CareFirst
| Professional | $12.19 | $12.19 | $14.64 | |
Cigna
| Professional | $12.88 | $12.88 | $12.88 | |
Kaiser Permanente
| Professional | $42.52 | $42.52 | $42.52 | |
United
| Professional | $7.13 | $10.69 | $17.70 |