| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.53 | $15.53 | $15.53 | |
Aetna
| Professional | $14.89 | $15.53 | $15.53 | |
CareFirst
| Professional | $12.82 | $12.82 | $12.82 | |
Cigna
| Professional | $11.73 | $11.73 | $11.73 | |
Kaiser Permanente
| Professional | $21.83 | $45.61 | $45.61 | |
United
| Professional | $7.64 | $11.46 | $20.13 |