| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.18 | $12.18 | $12.18 | |
Aetna
| Professional | $7.20 | $12.18 | $12.18 | |
CareFirst
| Professional | $10.27 | $10.27 | $10.27 | |
Cigna
| Professional | $7.36 | $7.36 | $7.36 | |
Kaiser Permanente
| Professional | $17.13 | $35.79 | $35.79 | |
United
| Professional | $7.64 | $11.58 | $15.80 |