| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.85 | $12.85 | $12.85 | |
Aetna
| Professional | $12.85 | $12.85 | $12.85 | |
CareFirst
| Professional | $10.82 | $10.82 | $10.82 | |
Cigna
| Professional | $11.42 | $11.42 | $11.42 | |
Kaiser Permanente
| Professional | $37.72 | $37.72 | $37.72 | |
United
| Professional | $6.32 | $9.49 | $15.70 |