| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.03 | $8.03 | $8.03 | |
Aetna
| Professional | $8.03 | $8.03 | $8.03 | |
CareFirst
| Professional | $8.50 | $8.50 | $8.50 | |
Cigna
| Professional | $6.08 | $6.08 | $6.08 | |
Kaiser Permanente
| Professional | $23.62 | $23.62 | $23.62 | |
United
| Professional | $3.96 | $5.93 | $11.78 |