| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.19 | $10.19 | $10.19 | |
Aetna
| Professional | $10.19 | $10.19 | $10.19 | |
CareFirst
| Professional | $5.76 | $5.76 | $5.76 | |
Cigna
| Facility | $10.19 | $10.19 | $10.19 | |
Kaiser Permanente
| Professional | $49.98 | $49.98 | $49.98 | |
United
| Professional | $9.10 | $10.00 | $17.23 |