| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.97 | $14.97 | $14.97 | |
Aetna
| Professional | $14.97 | $14.97 | $14.97 | |
CareFirst
| Professional | $12.60 | $12.60 | $15.14 | |
Cigna
| Professional | $11.31 | $11.31 | $11.31 | |
Kaiser Permanente
| Professional | $43.97 | $43.97 | $43.97 | |
United
| Professional | $7.36 | $11.05 | $15.65 |