| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.60 | $12.60 | $12.60 | |
Aetna
| Professional | $9.85 | $12.60 | $12.60 | |
CareFirst
| Professional | $21.78 | $26.95 | $34.24 | |
Cigna
| Professional | $9.52 | $9.52 | $9.52 | |
Kaiser Permanente
| Professional | $11.12 | $25.25 | $25.25 | |
United
| Professional | $6.36 | $11.00 | $24.24 |