| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.86 | $13.86 | $13.86 | |
Aetna
| Professional | $13.29 | $13.86 | $16.39 | |
CareFirst
| Professional | $11.69 | $11.69 | $11.69 | |
Cigna
| Professional | $8.36 | $8.36 | $8.36 | |
Kaiser Permanente
| Professional | $19.48 | $40.71 | $40.71 | |
United
| Professional | $8.99 | $10.59 | $17.97 |