| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.34 | $39.82 | $53.66 | |
Aetna
| Professional | $14.34 | $14.34 | $14.34 | |
CareFirst
| Professional | $14.12 | $20.53 | $34.71 | |
Cigna
| Facility | $13.53 | $13.53 | $14.34 | |
Kaiser Permanente
| Professional | $12.19 | $12.19 | $14.34 | |
United
| Professional | $13.78 | $14.34 | $18.62 |