| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.14 | $51.86 | $69.88 | |
Aetna
| Professional | $18.14 | $18.14 | $18.14 | |
CareFirst
| Professional | $18.14 | $26.83 | $45.37 | |
Cigna
| Facility | $17.12 | $17.12 | $18.14 | |
Kaiser Permanente
| Professional | $15.43 | $15.43 | $18.14 | |
United
| Professional | $17.97 | $18.14 | $20.97 |