| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.80 | $13.80 | $112.61 | |
Aetna
| Professional | $13.80 | $13.80 | $13.80 | |
CareFirst
| Professional | $14.72 | $14.72 | $16.55 | |
Cigna
| Facility | $29.90 | $31.10 | $66.66 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Kaiser Permanente
| Professional | $37.40 | $37.40 | $37.40 | |
United
| Facility | $7.73 | $7.73 | $7.73 | |
United
| Professional | $7.73 | $8.27 | $16.73 |