| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.99 | $37.47 | $10,713.72 | |
Aetna
| Professional | $12.99 | $12.99 | $12.99 | |
CareFirst
| Professional | $13.00 | $20.05 | $33.90 | |
Cigna
| Facility | $12.26 | $12.26 | $12.99 | |
Kaiser Permanente
| Professional | $11.04 | $11.04 | $12.99 | |
United
| Professional | $11.82 | $12.99 | $21.13 |