| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.17 | $49.83 | $133.75 | |
Aetna
| Professional | $18.17 | $18.17 | $18.17 | |
CareFirst
| Professional | $17.67 | $27.03 | $45.70 | |
Cigna
| Facility | $17.14 | $17.14 | $18.17 | |
Kaiser Permanente
| Professional | $15.44 | $15.44 | $18.17 | |
United
| Professional | $16.53 | $18.17 | $29.45 |