| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.91 | $13.91 | $13.91 | |
Aetna
| Professional | $13.91 | $13.91 | $17.80 | |
CareFirst
| Professional | $14.79 | $14.79 | $14.79 | |
Cigna
| Professional | $13.91 | $13.91 | $13.91 | |
Kaiser Permanente
| Professional | $25.00 | $25.00 | $25.00 | |
United
| Professional | $13.23 | $13.64 | $16.36 |