| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.88 | $16.88 | $16.88 | |
Aetna
| Professional | $16.18 | $16.88 | $16.88 | |
CareFirst
| Professional | $14.21 | $14.21 | $14.21 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
Kaiser Permanente
| Professional | $23.73 | $49.58 | $49.58 | |
United
| Professional | $8.31 | $12.46 | $21.88 |