| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $58.88 | $97.72 | |
Aetna
| Professional | $10.96 | $14.13 | $58.88 | |
CareFirst
| Professional | $45.71 | $81.28 | $177.83 | |
Cigna
| Facility | $25.70 | $26.92 | $61.66 | |
Cigna
| Professional | $8.71 | $18.20 | $22.91 | |
Kaiser Permanente
| Professional | $30.90 | $30.90 | $32.36 | |
United
| Facility | $19.05 | $19.05 | $19.05 | |
United
| Professional | $9.55 | $15.49 | $23.99 |