| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.03 | $20.89 | $25.70 | |
Aetna
| Professional | $6.03 | $6.03 | $26.92 | |
CareFirst
| Professional | $21.38 | $23.99 | $50.12 | |
Cigna
| Facility | $6.31 | $6.76 | $6.76 | |
Kaiser Permanente
| Professional | $5.75 | $5.75 | $6.76 | |
United
| Professional | $6.76 | $6.76 | $10.96 |