| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.07 | $29.20 | $45.60 | |
Aetna
| Professional | $12.07 | $12.07 | $12.07 | |
CareFirst
| Professional | $12.00 | $17.36 | $29.35 | |
Cigna
| Facility | $11.39 | $11.39 | $12.07 | |
Kaiser Permanente
| Professional | $10.26 | $10.26 | $12.07 | |
United
| Professional | $10.98 | $12.07 | $19.55 |