| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.22 | $40.78 | $54.95 | |
Aetna
| Professional | $16.22 | $16.22 | $16.22 | |
CareFirst
| Professional | $14.46 | $26.52 | $44.84 | |
Cigna
| Facility | $15.30 | $15.30 | $16.22 | |
Kaiser Permanente
| Professional | $10.54 | $13.79 | $16.22 | |
United
| Professional | $14.76 | $16.22 | $23.40 |