| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.88 | $15.88 | $15.88 | |
Aetna
| Professional | $15.23 | $15.88 | $15.88 | |
CareFirst
| Professional | $13.12 | $13.12 | $13.12 | |
Cigna
| Professional | $12.00 | $12.00 | $12.00 | |
Kaiser Permanente
| Professional | $22.33 | $46.65 | $46.65 | |
United
| Professional | $9.97 | $15.07 | $20.59 |