| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $15.85 | $22.91 | $91.20 | |
CareFirst
| Professional | $17.78 | $19.50 | $81.28 | |
Cigna
| Professional | $19.05 | $33.11 | $74.13 | |
Kaiser Permanente
| Professional | $17.38 | $19.50 | $38.90 | |
United
| Professional | $14.79 | $22.91 | $50.12 |