| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.57 | $11.57 | $11.57 | |
Aetna
| Professional | $11.09 | $11.57 | $11.57 | |
CareFirst
| Professional | $9.55 | $9.55 | $9.55 | |
Cigna
| Professional | $8.75 | $8.75 | $8.75 | |
Kaiser Permanente
| Professional | $16.25 | $33.97 | $33.97 | |
United
| Professional | $5.69 | $8.53 | $14.99 |