| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $29.51 | |
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
CareFirst
| Professional | $13.80 | $15.85 | $33.11 | |
Cigna
| Facility | $9.55 | $10.00 | $10.00 | |
Kaiser Permanente
| Professional | $8.51 | $8.51 | $10.00 | |
United
| Facility | $10.00 | $10.00 | $10.00 | |
United
| Professional | $10.00 | $10.00 | $16.22 |