| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.56 | $12.56 | $12.56 | |
Aetna
| Professional | $10.97 | $12.56 | $12.56 | |
CareFirst
| Professional | $30.92 | $30.92 | $30.92 | |
Cigna
| Professional | $11.42 | $11.42 | $11.42 | |
Kaiser Permanente
| Professional | $15.75 | $34.11 | $34.11 | |
United
| Professional | $7.58 | $11.37 | $15.31 |