| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.32 | $10.32 | $10.32 | |
Aetna
| Professional | $9.90 | $10.32 | $10.32 | |
CareFirst
| Professional | $8.52 | $8.52 | $8.52 | |
Cigna
| Professional | $7.80 | $7.80 | $7.80 | |
Kaiser Permanente
| Professional | $14.52 | $30.33 | $30.33 | |
United
| Professional | $5.08 | $7.62 | $13.39 |