| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $91.20 | |
Aetna
| Professional | $10.00 | $10.96 | $12.02 | |
CareFirst
| Professional | $10.72 | $12.02 | $12.88 | |
Cigna
| Facility | $23.99 | $25.12 | $56.23 | |
Kaiser Permanente
| Professional | $16.98 | $16.98 | $30.20 | |
United
| Facility | $17.78 | $17.78 | $17.78 | |
United
| Professional | $6.31 | $6.76 | $18.62 |