| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.62 | $10.62 | $10.62 | |
Aetna
| Professional | $10.62 | $10.62 | $10.62 | |
CareFirst
| Professional | $14.00 | $14.00 | $17.73 | |
Cigna
| Professional | $9.74 | $9.74 | $9.74 | |
Kaiser Permanente
| Professional | $16.87 | $16.87 | $51.51 | |
United
| Professional | $8.63 | $12.95 | $27.23 |