| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.99 | $53.13 | $71.59 | |
Aetna
| Professional | $20.99 | $20.99 | $20.99 | |
CareFirst
| Professional | $18.84 | $33.97 | $57.45 | |
Cigna
| Facility | $19.80 | $19.80 | $20.99 | |
Kaiser Permanente
| Professional | $17.84 | $17.84 | $20.99 | |
United
| Professional | $19.10 | $20.99 | $34.02 |