| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.16 | $14.16 | $14.16 | |
Aetna
| Professional | $14.16 | $14.16 | $14.16 | |
CareFirst
| Professional | $14.00 | $14.00 | $18.17 | |
Cigna
| Professional | $13.46 | $13.46 | $13.46 | |
Kaiser Permanente
| Professional | $17.27 | $17.27 | $52.75 | |
United
| Professional | $8.84 | $13.25 | $20.17 |