| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.28 | $8.28 | $8.28 | |
Aetna
| Professional | $8.28 | $8.28 | $8.28 | |
CareFirst
| Professional | $3.61 | $3.61 | $3.61 | |
Cigna
| Facility | $8.28 | $8.28 | $8.28 | |
Kaiser Permanente
| Professional | $5.55 | $5.55 | $5.55 | |
United
| Professional | $7.40 | $8.13 | $13.18 |