| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $12.02 | $104.71 | |
Aetna
| Professional | $12.02 | $12.88 | $12.88 | |
CareFirst
| Professional | $12.30 | $13.80 | $15.14 | |
Cigna
| Facility | $28.18 | $28.84 | $66.07 | |
Kaiser Permanente
| Professional | $19.95 | $19.95 | $34.67 | |
United
| Facility | $20.42 | $20.42 | $20.42 | |
United
| Professional | $7.24 | $7.76 | $21.38 |