| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $64.57 | $128.82 | |
Aetna
| Professional | $15.14 | $15.85 | $85.11 | |
CareFirst
| Professional | $50.12 | $87.10 | $208.93 | |
Cigna
| Facility | $33.88 | $35.48 | $79.43 | |
Cigna
| Professional | $11.48 | $24.55 | $30.20 | |
Kaiser Permanente
| Professional | $36.31 | $36.31 | $42.66 | |
United
| Facility | $25.12 | $25.12 | $25.12 | |
United
| Professional | $8.71 | $12.59 | $29.51 |