| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.71 | $10.71 | $10.71 | |
Aetna
| Professional | $10.71 | $10.71 | $10.71 | |
CareFirst
| Professional | $8.84 | $8.84 | $10.84 | |
Cigna
| Professional | $6.47 | $6.47 | $7.85 | |
Kaiser Permanente
| Professional | $31.47 | $31.47 | $31.47 | |
United
| Professional | $5.27 | $7.91 | $13.09 |