| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $10.96 | $10.96 | $13.49 | |
CareFirst
| Professional | $14.79 | $16.98 | $35.48 | |
Cigna
| Facility | $10.96 | $10.96 | $10.96 | |
Kaiser Permanente
| Professional | $9.33 | $9.33 | $10.96 | |
United
| Facility | $10.47 | $10.47 | $10.47 | |
United
| Professional | $9.77 | $11.48 | $13.80 |