| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.55 | $6.55 | $6.55 | |
Aetna
| Professional | $6.55 | $6.55 | $6.55 | |
CareFirst
| Professional | $20.12 | $20.12 | $20.12 | |
Cigna
| Professional | $20.71 | $20.71 | $20.71 | |
Kaiser Permanente
| Professional | $9.27 | $9.27 | $29.35 | |
United
| Professional | $5.85 | $9.77 | $14.69 |