| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.67 | $14.67 | $14.67 | |
Aetna
| Professional | $14.67 | $14.67 | $14.67 | |
CareFirst
| Professional | $19.00 | $19.00 | $24.51 | |
Cigna
| Professional | $16.86 | $16.86 | $16.86 | |
Kaiser Permanente
| Professional | $23.30 | $23.30 | $71.16 | |
United
| Professional | $11.92 | $17.89 | $26.87 |