| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.05 | $27.69 | $42.36 | |
Aetna
| Professional | $14.05 | $14.05 | $14.05 | |
CareFirst
| Professional | $15.65 | $15.65 | $15.65 | |
Cigna
| Facility | $14.75 | $14.75 | $14.75 | |
Kaiser Permanente
| Professional | $53.95 | $53.95 | $53.95 | |
United
| Professional | $13.16 | $13.29 | $18.95 |