| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.09 | $16.09 | $16.09 | |
Aetna
| Professional | $16.09 | $16.09 | $16.09 | |
CareFirst
| Professional | $13.55 | $13.55 | $16.28 | |
Cigna
| Professional | $13.97 | $13.97 | $13.97 | |
Kaiser Permanente
| Professional | $47.26 | $47.26 | $47.26 | |
United
| Professional | $7.92 | $11.08 | $19.66 |