| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.79 | $7.79 | $7.79 | |
Aetna
| Professional | $7.79 | $7.79 | $7.79 | |
CareFirst
| Professional | $7.79 | $7.79 | $7.88 | |
Cigna
| Professional | $6.41 | $6.41 | $6.41 | |
Kaiser Permanente
| Professional | $22.89 | $22.89 | $22.89 | |
United
| Professional | $3.83 | $5.75 | $11.41 |