| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.37 | $109.12 | $305.55 | |
Aetna
| Professional | $13.37 | $13.37 | $13.37 | |
CareFirst
| Professional | $16.05 | $78.00 | $178.37 | |
Cigna
| Facility | $28.98 | $30.13 | $64.28 | |
Cigna
| Professional | $19.52 | $21.48 | $26.85 | |
Kaiser Permanente
| Professional | $36.24 | $36.24 | $36.24 | |
United
| Professional | $7.49 | $10.94 | $16.22 |