| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $40.74 | $50.12 | |
Aetna
| Professional | $12.88 | $12.88 | $380.19 | |
CareFirst
| Professional | $41.69 | $47.86 | $100.00 | |
Cigna
| Facility | $12.30 | $13.18 | $13.18 | |
Kaiser Permanente
| Professional | $11.22 | $11.22 | $13.18 | |
United
| Professional | $13.18 | $13.18 | $21.38 |