| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.03 | $11.03 | $11.03 | |
Aetna
| Professional | $11.03 | $11.03 | $11.03 | |
CareFirst
| Professional | $14.15 | $14.15 | $18.42 | |
Cigna
| Professional | $11.23 | $11.23 | $11.23 | |
Kaiser Permanente
| Professional | $17.51 | $17.51 | $53.48 | |
United
| Professional | $8.96 | $13.45 | $20.20 |