| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.75 | $18.75 | $153.00 | |
Aetna
| Professional | $18.75 | $18.75 | $19.50 | |
CareFirst
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Facility | $40.63 | $42.25 | $90.47 | |
Cigna
| Professional | $28.78 | $28.78 | $31.63 | |
Kaiser Permanente
| Professional | $28.75 | $50.82 | $50.82 | |
United
| Professional | $10.50 | $15.00 | $39.75 |