| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.96 | $15.96 | $15.96 | |
Aetna
| Professional | $15.30 | $15.96 | $15.96 | |
CareFirst
| Professional | $13.43 | $13.43 | $13.43 | |
Cigna
| Professional | $9.63 | $9.63 | $9.63 | |
Kaiser Permanente
| Professional | $22.43 | $46.87 | $46.87 | |
United
| Professional | $7.86 | $11.78 | $20.69 |