| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.94 | $9.94 | $9.94 | |
Aetna
| Professional | $9.94 | $9.94 | $9.94 | |
CareFirst
| Professional | $3.32 | $3.32 | $3.32 | |
Cigna
| Facility | $9.94 | $9.94 | $9.94 | |
Kaiser Permanente
| Professional | $21.42 | $21.42 | $21.42 | |
United
| Professional | $8.86 | $9.74 | $15.79 |