| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $18.11 | $18.11 | |
Aetna
| Professional | $17.36 | $18.11 | $18.11 | |
CareFirst
| Professional | $18.30 | $18.30 | $18.30 | |
Cigna
| Professional | $10.93 | $12.04 | $12.04 | |
Kaiser Permanente
| Professional | $25.45 | $53.18 | $53.18 | |
United
| Professional | $8.91 | $14.39 | $23.47 |