| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.32 | $9.32 | $9.32 | |
Aetna
| Professional | $9.32 | $9.32 | $9.32 | |
CareFirst
| Professional | $9.32 | $9.32 | $9.32 | |
Cigna
| Professional | $7.05 | $7.05 | $7.05 | |
Kaiser Permanente
| Professional | $27.38 | $27.38 | $27.38 | |
United
| Professional | $4.59 | $6.88 | $9.75 |