| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.82 | $56.40 | $113.71 | |
Aetna
| Facility | 52 | $6.41 | $28.20 | $56.85 |
Aetna
| Professional | $12.82 | $14.20 | $29.87 | |
CareFirst
| Professional | $17.30 | $18.52 | $47.26 | |
Cigna
| Professional | $14.88 | $25.66 | $58.99 | |
Kaiser Permanente
| Professional | $13.06 | $14.88 | $30.31 | |
United
| Professional | $11.60 | $18.98 | $39.51 |