| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.34 | $12.34 | $12.34 | |
Aetna
| Professional | $12.34 | $12.34 | $15.80 | |
CareFirst
| Professional | $11.62 | $11.62 | $11.62 | |
Cigna
| Professional | $12.34 | $12.34 | $12.34 | |
Kaiser Permanente
| Professional | $13.01 | $13.01 | $13.01 | |
United
| Professional | $12.10 | $12.10 | $14.51 |