| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $39.81 | $47.86 | |
Aetna
| Professional | $12.02 | $12.02 | $12.88 | |
CareFirst
| Professional | $16.98 | $19.05 | $39.81 | |
Cigna
| Facility | $12.02 | $12.59 | $12.59 | |
Kaiser Permanente
| Professional | $10.72 | $10.72 | $12.59 | |
United
| Professional | $12.59 | $12.59 | $20.42 |