| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.47 | $100.64 | $152.90 | |
Aetna
| Professional | $16.47 | $16.47 | $16.47 | |
CareFirst
| Professional | $17.57 | $96.03 | $219.61 | |
Cigna
| Facility | $35.68 | $37.10 | $79.75 | |
Cigna
| Professional | $12.05 | $25.19 | $31.49 | |
Kaiser Permanente
| Professional | $44.64 | $44.64 | $44.64 | |
United
| Professional | $9.22 | $13.47 | $19.98 |