| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $50.12 | $208.93 | |
Aetna
| Professional | $10.96 | $30.20 | $141.25 | |
CareFirst
| Professional | $12.02 | $13.49 | $15.85 | |
Cigna
| Professional | $12.02 | $48.98 | $169.82 | |
Kaiser Permanente
| Professional | $11.75 | $58.88 | $120.23 | |
United
| Professional | $10.72 | $38.90 | $120.23 |