| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.08 | $14.08 | $14.08 | |
Aetna
| Professional | $14.08 | $14.08 | $14.08 | |
CareFirst
| Professional | $20.93 | $20.93 | $23.51 | |
Cigna
| Professional | $17.72 | $17.72 | $17.72 | |
Kaiser Permanente
| Professional | $22.36 | $22.36 | $68.28 | |
United
| Professional | $11.44 | $17.16 | $25.78 |