| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.00 | $12.00 | $97.92 | |
Aetna
| Professional | $12.00 | $12.00 | $12.00 | |
CareFirst
| Professional | $12.80 | $12.80 | $12.80 | |
Cigna
| Facility | $26.00 | $27.04 | $58.33 | |
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
Kaiser Permanente
| Professional | $32.52 | $32.52 | $32.52 | |
United
| Professional | $6.72 | $12.96 | $14.56 |