| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.59 | $14.59 | $14.59 | |
Aetna
| Professional | $14.59 | $14.59 | $14.59 | |
CareFirst
| Professional | $15.00 | $15.00 | $18.72 | |
Cigna
| Professional | $11.91 | $11.91 | $11.91 | |
Kaiser Permanente
| Professional | $17.80 | $17.80 | $54.35 | |
United
| Professional | $9.10 | $13.66 | $19.35 |