| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.51 | $7.51 | $7.51 | |
Aetna
| Professional | $7.51 | $7.51 | $7.51 | |
CareFirst
| Professional | $10.00 | $10.00 | $12.54 | |
Cigna
| Professional | $8.89 | $8.89 | $8.89 | |
Kaiser Permanente
| Professional | $11.93 | $11.93 | $36.43 | |
United
| Professional | $6.10 | $9.15 | $13.75 |