| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.85 | $42.05 | $56.66 | |
Aetna
| Professional | $14.85 | $14.85 | $14.85 | |
CareFirst
| Professional | $14.84 | $22.41 | $37.89 | |
Cigna
| Facility | $14.00 | $14.00 | $14.84 | |
Kaiser Permanente
| Professional | $12.62 | $12.62 | $14.85 | |
United
| Professional | $14.70 | $14.85 | $19.28 |