| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.30 | $29.05 | $39.14 | |
Aetna
| Professional | $10.30 | $10.30 | $10.30 | |
CareFirst
| Professional | $10.30 | $10.30 | $10.30 | |
Cigna
| Facility | $9.72 | $9.72 | $10.30 | |
Kaiser Permanente
| Professional | $8.76 | $8.76 | $10.30 | |
United
| Professional | $9.36 | $10.30 | $16.69 |