| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.94 | $10.94 | $10.94 | |
Aetna
| Professional | $10.49 | $10.94 | $10.94 | |
CareFirst
| Professional | $9.21 | $9.21 | $9.21 | |
Cigna
| Professional | $6.60 | $6.60 | $6.60 | |
Kaiser Permanente
| Professional | $15.38 | $32.14 | $32.14 | |
United
| Professional | $5.38 | $8.08 | $14.19 |