| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.45 | $13.45 | $13.45 | |
Aetna
| Professional | $13.45 | $13.45 | $13.45 | |
CareFirst
| Professional | $14.00 | $14.14 | $17.25 | |
Cigna
| Professional | $12.34 | $12.34 | $12.34 | |
Kaiser Permanente
| Professional | $16.41 | $16.41 | $50.09 | |
United
| Professional | $8.39 | $12.59 | $17.82 |