| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.84 | $14.84 | $14.84 | |
Aetna
| Professional | $14.84 | $14.84 | $14.84 | |
CareFirst
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Professional | $12.13 | $12.13 | $12.13 | |
Kaiser Permanente
| Professional | $18.10 | $18.10 | $55.27 | |
United
| Professional | $9.26 | $13.89 | $19.68 |