| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.62 | $33.13 | $124.65 | |
Aetna
| Professional | $10.62 | $10.62 | $10.62 | |
CareFirst
| Professional | $13.30 | $16.52 | $27.93 | |
Cigna
| Facility | $33.45 | $33.45 | $33.45 | |
Kaiser Permanente
| Professional | $9.02 | $9.02 | $10.62 | |
United
| Professional | $9.66 | $10.62 | $17.21 |