| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.22 | $16.22 | $16.22 | |
Aetna
| Professional | $16.22 | $16.22 | $16.22 | |
CareFirst
| Professional | $16.23 | $16.23 | $16.39 | |
Cigna
| Professional | $9.78 | $9.78 | $13.54 | |
Kaiser Permanente
| Professional | $47.63 | $47.63 | $47.63 | |
United
| Professional | $7.98 | $11.97 | $16.96 |