| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.08 | $21.88 | $28.84 | |
Aetna
| Professional | $7.08 | $30.90 | $851.14 | |
CareFirst
| Professional | $12.30 | $14.13 | $29.51 | |
Cigna
| Facility | $7.08 | $7.59 | $7.59 | |
Kaiser Permanente
| Professional | $6.46 | $6.46 | $7.59 | |
United
| Facility | $7.59 | $7.59 | $7.59 | |
United
| Professional | $7.59 | $7.59 | $12.30 |