| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.07 | $9.07 | $9.07 | |
Aetna
| Professional | $9.07 | $9.07 | $9.07 | |
CareFirst
| Professional | $9.08 | $9.08 | $9.17 | |
Cigna
| Professional | $6.86 | $6.86 | $6.86 | |
Kaiser Permanente
| Professional | $26.63 | $26.63 | $26.63 | |
United
| Professional | $4.46 | $6.70 | $9.49 |