| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.34 | $15.34 | $15.34 | |
Aetna
| Professional | $14.71 | $15.34 | $15.34 | |
CareFirst
| Professional | $12.67 | $12.67 | $12.67 | |
Cigna
| Professional | $11.59 | $11.59 | $11.59 | |
Kaiser Permanente
| Professional | $21.57 | $45.06 | $45.06 | |
United
| Professional | $10.22 | $11.33 | $19.89 |