| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.15 | $21.15 | $21.15 | |
Aetna
| Professional | $21.15 | $21.15 | $21.15 | |
CareFirst
| Professional | $17.82 | $17.82 | $21.39 | |
Cigna
| Professional | $16.11 | $16.11 | $16.11 | |
Kaiser Permanente
| Professional | $62.12 | $62.12 | $62.12 | |
United
| Professional | $10.41 | $15.62 | $25.85 |