| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.67 | $9.07 | $38.13 | |
Aetna
| Professional | $4.67 | $4.67 | $4.67 | |
CareFirst
| Professional | $4.36 | $11.11 | $45.76 | |
Cigna
| Facility | $10.13 | $10.53 | $22.62 | |
Cigna
| Professional | $3.44 | $7.02 | $8.77 | |
Kaiser Permanente
| Professional | $12.66 | $12.66 | $12.66 | |
United
| Professional | $2.23 | $6.41 | $8.66 |