| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.20 | $45.68 | $61.56 | |
Aetna
| Professional | $16.20 | $16.20 | $16.20 | |
CareFirst
| Professional | $16.20 | $25.64 | $43.36 | |
Cigna
| Facility | $15.28 | $15.28 | $16.20 | |
Kaiser Permanente
| Professional | $13.77 | $13.77 | $16.20 | |
United
| Professional | $14.74 | $16.20 | $26.26 |