| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.10 | $87.37 | $242.55 | |
Aetna
| Professional | $5.83 | $5.83 | $5.83 | |
CareFirst
| Professional | $6.22 | $33.99 | $77.75 | |
Cigna
| Facility | $12.63 | $13.13 | $28.57 | |
Cigna
| Professional | $4.21 | $9.09 | $11.36 | |
Kaiser Permanente
| Professional | $15.79 | $15.79 | $15.79 | |
United
| Professional | $3.26 | $4.76 | $7.07 |