| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.11 | $57.30 | $2,877.89 | |
Aetna
| Professional | $15.11 | $15.11 | $15.11 | |
CareFirst
| Professional | $15.08 | $22.82 | $38.59 | |
Cigna
| Facility | $14.26 | $14.26 | $15.11 | |
Kaiser Permanente
| Professional | $12.84 | $12.84 | $15.11 | |
United
| Professional | $13.75 | $15.11 | $24.49 |