| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.24 | $56.36 | $99.50 | |
Aetna
| Professional | $5.05 | $5.05 | $5.05 | |
CareFirst
| Professional | $5.05 | $8.91 | $15.07 | |
Cigna
| Facility | $4.76 | $4.76 | $5.05 | |
Kaiser Permanente
| Professional | $4.30 | $4.30 | $5.05 | |
United
| Professional | $5.01 | $5.36 | $57.79 |