| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.04 | $41.91 | $50.45 | |
Aetna
| Professional | $11.04 | $11.04 | $11.04 | |
CareFirst
| Professional | $11.02 | $17.70 | $29.94 | |
Cigna
| Facility | $10.41 | $10.41 | $11.04 | |
Kaiser Permanente
| Professional | $9.38 | $9.38 | $11.04 | |
United
| Professional | $10.05 | $11.04 | $17.89 |