| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.18 | $14.18 | $14.18 | |
Aetna
| Professional | $14.18 | $14.18 | $14.18 | |
CareFirst
| Professional | $14.19 | $14.19 | $14.34 | |
Cigna
| Professional | $8.56 | $8.56 | $11.82 | |
Kaiser Permanente
| Professional | $41.65 | $41.65 | $41.65 | |
United
| Professional | $6.98 | $10.47 | $18.48 |