| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.95 | $39.36 | $334.05 | |
Aetna
| Professional | $12.95 | $12.95 | $12.95 | |
CareFirst
| Professional | $13.82 | $54.06 | $118.30 | |
Cigna
| Facility | $28.08 | $29.20 | $63.09 | |
Cigna
| Professional | $0.09 | $9.36 | $24.78 | |
Kaiser Permanente
| Professional | $35.10 | $35.10 | $35.10 | |
United
| Professional | $7.25 | $10.36 | $15.72 |