| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.27 | $10.27 | $28.65 | |
Aetna
| Professional | $10.27 | $10.27 | $10.27 | |
CareFirst
| Professional | $10.17 | $15.86 | $26.81 | |
Cigna
| Facility | $9.69 | $9.69 | $10.27 | |
Kaiser Permanente
| Professional | $8.73 | $8.73 | $10.27 | |
United
| Professional | $10.27 | $10.27 | $16.64 |