| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.95 | $29.84 | $40.20 | |
Aetna
| Professional | $10.95 | $10.95 | $10.95 | |
CareFirst
| Professional | $10.58 | $15.71 | $26.56 | |
Cigna
| Facility | $10.33 | $10.33 | $10.95 | |
Kaiser Permanente
| Professional | $9.31 | $9.31 | $10.95 | |
United
| Professional | $9.96 | $10.95 | $17.75 |