| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.52 | $8.52 | $8.52 | |
Aetna
| Professional | $8.52 | $8.52 | $8.52 | |
CareFirst
| Professional | $8.53 | $8.53 | $8.63 | |
Cigna
| Professional | $6.45 | $6.45 | $6.45 | |
Kaiser Permanente
| Professional | $25.06 | $25.06 | $25.06 | |
United
| Professional | $4.20 | $6.30 | $12.49 |