| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.54 | $32.57 | $43.89 | |
Aetna
| Professional | $11.54 | $11.54 | $11.54 | |
CareFirst
| Professional | $11.53 | $17.94 | $30.33 | |
Cigna
| Facility | $10.88 | $10.88 | $11.54 | |
Kaiser Permanente
| Professional | $9.81 | $9.81 | $11.54 | |
United
| Professional | $10.50 | $11.54 | $18.70 |