| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.01 | $51.61 | $69.54 | |
Aetna
| Professional | $18.01 | $18.01 | $18.01 | |
CareFirst
| Professional | $18.01 | $28.40 | $48.02 | |
Cigna
| Facility | $16.98 | $16.98 | $18.01 | |
Kaiser Permanente
| Professional | $15.31 | $15.31 | $18.01 | |
United
| Professional | $16.39 | $18.01 | $29.19 |