| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.52 | $46.25 | $62.32 | |
Aetna
| Professional | $16.52 | $16.52 | $16.52 | |
CareFirst
| Professional | $16.39 | $23.28 | $39.36 | |
Cigna
| Facility | $15.58 | $15.58 | $16.52 | |
Kaiser Permanente
| Professional | $14.04 | $14.04 | $16.52 | |
United
| Professional | $15.03 | $16.52 | $26.78 |