| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.71 | $62.17 | $128.15 | |
Aetna
| Professional | $15.71 | $15.71 | $15.71 | |
CareFirst
| Professional | $16.75 | $76.09 | $188.38 | |
Cigna
| Facility | $34.03 | $35.39 | $76.18 | |
Cigna
| Professional | $11.47 | $24.37 | $30.46 | |
Kaiser Permanente
| Professional | $42.56 | $42.56 | $42.56 | |
United
| Professional | $8.78 | $10.67 | $19.05 |