| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.75 | $15.75 | $15.75 | |
Aetna
| Professional | $12.88 | $15.75 | $15.75 | |
CareFirst
| Professional | $13.27 | $13.27 | $13.27 | |
Cigna
| Professional | $9.51 | $9.51 | $9.51 | |
Kaiser Permanente
| Professional | $22.15 | $46.28 | $46.28 | |
United
| Professional | $7.75 | $11.63 | $20.43 |