| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $38.02 | $45.71 | |
Aetna
| Professional | $12.02 | $12.02 | $12.59 | |
CareFirst
| Professional | $16.60 | $19.05 | $38.90 | |
Cigna
| Facility | $11.48 | $12.02 | $12.02 | |
Kaiser Permanente
| Professional | $10.23 | $10.23 | $12.02 | |
United
| Facility | $12.02 | $12.02 | $12.02 | |
United
| Professional | $12.02 | $12.02 | $19.50 |