| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $12.02 | $114.82 | |
Aetna
| Professional | $12.02 | $19.05 | $50.12 | |
CareFirst
| Professional | $16.22 | $18.62 | $67.61 | |
Cigna
| Professional | $15.14 | $26.30 | $58.88 | |
Kaiser Permanente
| Professional | $13.18 | $14.79 | $30.20 | |
United
| Professional | $12.59 | $19.05 | $33.11 |