| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.23 | $40.07 | $54.00 | |
Aetna
| Professional | $14.23 | $14.23 | $14.23 | |
CareFirst
| Professional | $14.20 | $22.62 | $38.25 | |
Cigna
| Facility | $13.43 | $13.43 | $14.23 | |
Kaiser Permanente
| Professional | $12.10 | $12.10 | $14.23 | |
United
| Professional | $14.09 | $14.23 | $18.48 |