| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.18 | $13.77 | $27.16 | |
Aetna
| Professional | 25 | $27.20 | $27.20 | $27.20 |
CareFirst
| Professional | $10.46 | $10.46 | $13.91 | |
Cigna
| Professional | $10.33 | $16.87 | $37.28 | |
Kaiser Permanente
| Professional | $13.19 | $17.07 | $33.25 | |
United
| Professional | $10.52 | $15.05 | $35.00 |