| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.71 | $40.39 | $120.01 | |
Aetna
| Professional | $14.71 | $14.71 | $14.71 | |
CareFirst
| Professional | $15.69 | $73.77 | $168.72 | |
Cigna
| Facility | $31.88 | $33.15 | $71.42 | |
Cigna
| Professional | $10.71 | $22.72 | $28.39 | |
Kaiser Permanente
| Professional | $39.86 | $39.86 | $39.86 | |
United
| Professional | $4.38 | $10.34 | $17.84 |