| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.32 | $12.32 | $12.32 | |
Aetna
| Professional | $12.32 | $12.32 | $29.94 | |
CareFirst
| Professional | $10.38 | $10.38 | $10.38 | |
Cigna
| Professional | $7.44 | $7.44 | $7.44 | |
Kaiser Permanente
| Professional | $17.32 | $36.18 | $36.18 | |
United
| Professional | $6.06 | $9.10 | $15.97 |