| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.31 | $14.31 | $14.31 | |
Aetna
| Professional | $12.50 | $14.31 | $14.31 | |
CareFirst
| Professional | $24.25 | $24.25 | $24.25 | |
Cigna
| Professional | $13.47 | $13.47 | $13.47 | |
Kaiser Permanente
| Professional | $17.95 | $38.89 | $38.89 | |
United
| Professional | $8.64 | $12.95 | $17.44 |