| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.86 | $157.38 | $157.38 | |
Aetna
| Professional | $12.86 | $12.86 | $12.86 | |
CareFirst
| Professional | $15.43 | $63.60 | $139.19 | |
Cigna
| Facility | $27.85 | $28.96 | $61.90 | |
Cigna
| Professional | $9.36 | $19.82 | $24.78 | |
Kaiser Permanente
| Professional | $34.84 | $34.84 | $34.84 | |
United
| Professional | $8.38 | $15.60 | $31.72 |