| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $12.88 | |
Aetna
| Professional | $10.00 | $12.88 | $19.05 | |
CareFirst
| Professional | $11.75 | $11.75 | $11.75 | |
Cigna
| Professional | $8.32 | $8.32 | $23.99 | |
Kaiser Permanente
| Professional | $19.95 | $22.91 | $40.74 | |
United
| Facility | $10.23 | $10.23 | $10.23 | |
United
| Professional | $6.76 | $10.23 | $16.98 |