| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.30 | $47.74 | $64.33 | |
Aetna
| Professional | $15.30 | $15.30 | $15.30 | |
CareFirst
| Professional | $15.30 | $22.57 | $38.17 | |
Cigna
| Facility | $14.43 | $14.43 | $15.30 | |
Kaiser Permanente
| Professional | $13.01 | $13.01 | $15.30 | |
United
| Professional | $13.92 | $15.30 | $24.80 |