| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.54 | $50.87 | $68.55 | |
Aetna
| Professional | $16.54 | $16.54 | $16.54 | |
CareFirst
| Professional | $16.54 | $25.36 | $42.88 | |
Cigna
| Facility | $15.60 | $15.60 | $16.54 | |
Kaiser Permanente
| Professional | $14.06 | $14.06 | $16.54 | |
United
| Professional | $15.05 | $16.54 | $26.81 |