| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.44 | $49.38 | $66.54 | |
Aetna
| Professional | $18.44 | $18.44 | $18.44 | |
CareFirst
| Professional | $17.51 | $33.96 | $57.42 | |
Cigna
| Facility | $17.39 | $17.39 | $18.44 | |
Kaiser Permanente
| Professional | $15.67 | $15.67 | $18.44 | |
United
| Professional | $16.78 | $18.44 | $29.89 |