| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.31 | $9.31 | $9.31 | |
Aetna
| Professional | $9.31 | $9.31 | $9.31 | |
CareFirst
| Professional | $9.68 | $9.68 | $9.68 | |
Cigna
| Facility | $9.31 | $9.31 | $9.31 | |
Kaiser Permanente
| Professional | $10.31 | $10.31 | $10.31 | |
United
| Professional | $9.96 | $10.95 | $17.75 |