| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.14 | $17.14 | $17.14 | |
Aetna
| Professional | $17.14 | $17.14 | $17.14 | |
CareFirst
| Professional | $14.44 | $14.44 | $17.35 | |
Cigna
| Professional | $10.56 | $10.56 | $13.21 | |
Kaiser Permanente
| Professional | $50.37 | $50.37 | $50.37 | |
United
| Professional | $7.32 | $12.66 | $20.95 |