| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.97 | $13.97 | $114.02 | |
Aetna
| Professional | $13.97 | $13.97 | $13.97 | |
CareFirst
| Professional | $14.90 | $14.90 | $16.77 | |
Cigna
| Facility | $30.28 | $31.49 | $67.84 | |
Cigna
| Professional | $21.48 | $21.48 | $26.85 | |
Kaiser Permanente
| Professional | $37.86 | $37.86 | $37.86 | |
United
| Professional | $7.82 | $8.38 | $16.95 |