| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.07 | $43.94 | $59.20 | |
Aetna
| Professional | $16.07 | $16.07 | $16.07 | |
CareFirst
| Professional | $57.60 | $57.60 | $57.60 | |
Cigna
| Facility | $15.17 | $15.17 | $16.07 | |
Kaiser Permanente
| Professional | $13.67 | $13.67 | $16.07 | |
United
| Professional | $14.63 | $16.07 | $26.06 |