| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.23 | $25.72 | $28.36 | |
Aetna
| Professional | $7.95 | $7.95 | $7.95 | |
CareFirst
| Professional | $7.95 | $13.73 | $23.21 | |
Cigna
| Facility | $7.50 | $7.50 | $7.95 | |
Kaiser Permanente
| Professional | $6.76 | $6.76 | $7.95 | |
United
| Professional | $7.23 | $7.95 | $12.89 |