| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.61 | $43.85 | $59.09 | |
Aetna
| Professional | $15.61 | $15.61 | $15.61 | |
CareFirst
| Professional | $15.55 | $24.59 | $41.57 | |
Cigna
| Facility | $14.73 | $14.73 | $15.61 | |
Kaiser Permanente
| Professional | $13.27 | $13.27 | $15.61 | |
United
| Professional | $14.21 | $15.61 | $25.30 |