| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.94 | $47.45 | $121.69 | |
Aetna
| Professional | $4.18 | $4.18 | $4.18 | |
CareFirst
| Professional | $4.46 | $24.41 | $55.83 | |
Cigna
| Facility | $9.05 | $9.41 | $20.23 | |
Cigna
| Professional | $3.06 | $6.20 | $7.74 | |
Kaiser Permanente
| Professional | $11.32 | $11.32 | $11.32 | |
United
| Professional | $2.34 | $3.42 | $5.07 |