| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.24 | $42.72 | $163.21 | |
Aetna
| Professional | $5.24 | $5.24 | $5.24 | |
CareFirst
| Professional | $5.58 | $30.52 | $69.80 | |
Cigna
| Facility | $11.35 | $11.80 | $25.00 | |
Cigna
| Professional | $3.82 | $8.26 | $10.33 | |
Kaiser Permanente
| Professional | $14.19 | $14.19 | $14.19 | |
United
| Professional | $2.93 | $4.28 | $6.35 |