| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.38 | $17.38 | $17.38 | |
Aetna
| Professional | $17.38 | $17.38 | $19.22 | |
CareFirst
| Professional | $14.64 | $14.64 | $14.64 | |
Cigna
| Professional | $10.49 | $10.49 | $10.49 | |
Kaiser Permanente
| Professional | $24.43 | $51.06 | $51.06 | |
United
| Professional | $8.56 | $12.83 | $22.54 |