| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $21.88 | $77.62 | |
Aetna
| Professional | $7.94 | $8.91 | $16.22 | |
CareFirst
| Professional | $41.69 | $74.13 | $154.88 | |
Cigna
| Facility | $20.42 | $21.38 | $47.86 | |
Cigna
| Professional | $6.92 | $14.45 | $18.20 | |
Kaiser Permanente
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Facility | $15.14 | $15.14 | $15.14 | |
United
| Professional | $5.25 | $7.59 | $18.62 |