| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.59 | $11.59 | $11.59 | |
Aetna
| Professional | $11.59 | $11.59 | $11.59 | |
CareFirst
| Professional | $9.76 | $9.76 | $11.72 | |
Cigna
| Professional | $8.75 | $8.75 | $8.75 | |
Kaiser Permanente
| Professional | $34.03 | $34.03 | $34.03 | |
United
| Professional | $4.90 | $8.55 | $14.15 |