| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.15 | $11.15 | $90.94 | |
Aetna
| Professional | $11.15 | $11.15 | $11.59 | |
CareFirst
| Professional | $11.89 | $11.89 | $11.89 | |
Cigna
| Facility | $24.15 | $25.12 | $53.57 | |
Cigna
| Professional | $17.10 | $17.10 | $18.80 | |
Kaiser Permanente
| Professional | $17.09 | $30.21 | $30.21 | |
United
| Professional | $6.24 | $8.92 | $23.63 |