| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.76 | $30.40 | $40.96 | |
Aetna
| Professional | $10.76 | $10.76 | $10.76 | |
CareFirst
| Professional | $10.76 | $15.81 | $26.73 | |
Cigna
| Facility | $10.15 | $10.15 | $10.76 | |
Kaiser Permanente
| Professional | $9.15 | $9.15 | $10.76 | |
United
| Professional | $9.78 | $10.76 | $17.44 |