| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.19 | $10.19 | $10.19 | |
Aetna
| Professional | $10.19 | $10.19 | $10.19 | |
CareFirst
| Professional | $8.58 | $8.58 | $10.30 | |
Cigna
| Professional | $7.69 | $7.69 | $7.69 | |
Kaiser Permanente
| Professional | $29.92 | $29.92 | $29.92 | |
United
| Professional | $5.01 | $7.52 | $12.44 |