| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $20.89 | $54.95 | |
Aetna
| Professional | $2.00 | $8.71 | $19.50 | |
CareFirst
| Professional | $7.24 | $12.88 | $28.84 | |
Cigna
| Facility | $5.62 | $5.89 | $13.80 | |
Cigna
| Professional | $1.91 | $4.17 | $5.13 | |
Kaiser Permanente
| Professional | $6.03 | $6.03 | $7.08 | |
United
| Facility | $4.17 | $4.17 | $4.17 | |
United
| Professional | $2.09 | $2.45 | $4.27 |