| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.92 | $25.92 | $25.92 | |
Aetna
| Professional | $17.17 | $25.92 | $25.92 | |
CareFirst
| Professional | $15.08 | $15.08 | $39.70 | |
Cigna
| Facility | $1.38 | $1.43 | $99.99 | |
Cigna
| Professional | $11.83 | $18.64 | $129.06 | |
Kaiser Permanente
| Professional | $24.29 | $64.44 | $66.65 | |
United
| Professional | $8.50 | $16.64 | $30.33 |