| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.45 | $10.45 | $10.45 | |
Aetna
| Professional | $10.45 | $10.45 | $10.45 | |
CareFirst
| Professional | $11.46 | $11.46 | $13.41 | |
Cigna
| Professional | $9.55 | $9.55 | $9.55 | |
Kaiser Permanente
| Professional | $12.75 | $12.75 | $38.93 | |
United
| Professional | $6.52 | $9.78 | $13.86 |