| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.48 | $10.48 | $10.48 | |
Aetna
| Professional | $10.48 | $10.48 | $10.48 | |
CareFirst
| Professional | $4.78 | $4.78 | $4.78 | |
Cigna
| Facility | $10.48 | $10.48 | $10.48 | |
Kaiser Permanente
| Professional | $5.55 | $5.55 | $5.55 | |
United
| Professional | $9.35 | $10.27 | $16.64 |