| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.84 | $49.60 | $66.84 | |
Aetna
| Professional | $16.84 | $16.84 | $16.84 | |
CareFirst
| Professional | $16.84 | $26.30 | $44.47 | |
Cigna
| Facility | $15.89 | $15.89 | $16.84 | |
Kaiser Permanente
| Professional | $14.31 | $14.31 | $16.84 | |
United
| Professional | $16.67 | $16.84 | $21.86 |