| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $39.81 | $331.13 | |
Aetna
| Professional | $12.02 | $12.88 | $46.77 | |
CareFirst
| Professional | $35.48 | $63.10 | $131.83 | |
Cigna
| Facility | $28.18 | $29.51 | $66.07 | |
Cigna
| Professional | $0.09 | $9.33 | $24.55 | |
Kaiser Permanente
| Professional | $35.48 | $35.48 | $35.48 | |
United
| Facility | $20.89 | $20.89 | $20.89 | |
United
| Professional | $7.24 | $10.47 | $21.38 |