| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.91 | $12.91 | $105.33 | |
Aetna
| Professional | $12.91 | $12.91 | $13.42 | |
CareFirst
| Professional | $13.77 | $13.77 | $13.77 | |
Cigna
| Facility | $27.98 | $29.09 | $63.09 | |
Cigna
| Professional | $20.02 | $20.02 | $22.00 | |
Kaiser Permanente
| Professional | $19.79 | $34.97 | $34.97 | |
United
| Professional | $7.23 | $10.33 | $27.36 |