| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.33 | $48.70 | $65.63 | |
Aetna
| Professional | $15.33 | $15.33 | $15.33 | |
CareFirst
| Professional | $15.33 | $25.36 | $42.88 | |
Cigna
| Facility | $14.46 | $14.46 | $15.32 | |
Kaiser Permanente
| Professional | $13.03 | $13.03 | $15.33 | |
United
| Professional | $13.95 | $15.33 | $24.85 |