| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $38.90 | $47.86 | |
Aetna
| Professional | $12.02 | $12.02 | $177.83 | |
CareFirst
| Professional | $19.95 | $22.39 | $46.77 | |
Cigna
| Facility | $11.75 | $12.59 | $12.59 | |
Kaiser Permanente
| Professional | $8.13 | $10.72 | $12.59 | |
United
| Professional | $12.59 | $12.59 | $17.78 |