| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $57.54 | $70.79 | |
Aetna
| Professional | $18.20 | $18.20 | $19.05 | |
CareFirst
| Professional | $25.12 | $28.18 | $58.88 | |
Cigna
| Facility | $17.38 | $18.62 | $18.62 | |
Kaiser Permanente
| Professional | $15.85 | $15.85 | $18.62 | |
United
| Facility | $18.62 | $18.62 | $18.62 | |
United
| Professional | $18.62 | $18.62 | $30.20 |