| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.64 | $28.94 | $62.30 | |
Aetna
| Professional | $7.64 | $7.64 | $7.64 | |
CareFirst
| Professional | $8.16 | $35.40 | $101.72 | |
Cigna
| Facility | $16.55 | $17.21 | $36.90 | |
Cigna
| Professional | $5.55 | $11.56 | $14.46 | |
Kaiser Permanente
| Professional | $20.69 | $20.69 | $20.69 | |
United
| Professional | $4.28 | $6.11 | $9.26 |