| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.06 | $32.11 | $43.28 | |
Aetna
| Professional | $13.06 | $13.06 | $13.06 | |
CareFirst
| Professional | $11.38 | $16.96 | $28.68 | |
Cigna
| Facility | $12.32 | $12.32 | $13.06 | |
Kaiser Permanente
| Professional | $11.10 | $11.10 | $13.06 | |
United
| Professional | $11.88 | $13.06 | $21.17 |