| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.29 | $37.61 | $50.69 | |
Aetna
| Professional | $13.29 | $13.29 | $13.29 | |
CareFirst
| Professional | $13.29 | $20.32 | $34.36 | |
Cigna
| Facility | $12.54 | $12.54 | $13.29 | |
Kaiser Permanente
| Professional | $11.30 | $11.30 | $13.29 | |
United
| Professional | $12.09 | $13.29 | $21.54 |