| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.27 | $8.27 | $8.27 | |
Aetna
| Professional | $8.27 | $8.27 | $8.27 | |
CareFirst
| Professional | $8.27 | $8.27 | $8.36 | |
Cigna
| Professional | $6.25 | $6.25 | $6.25 | |
Kaiser Permanente
| Professional | $24.29 | $24.29 | $24.29 | |
United
| Professional | $4.07 | $6.11 | $8.65 |