| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.99 | $13.99 | $13.99 | |
Aetna
| Professional | $13.99 | $13.99 | $13.99 | |
CareFirst
| Professional | $8.94 | $8.94 | $8.94 | |
Cigna
| Facility | $8.94 | $8.94 | $8.94 | |
Kaiser Permanente
| Professional | $26.97 | $26.97 | $26.97 | |
United
| Professional | $14.01 | $15.40 | $24.96 |