| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.59 | $166.52 | $666.10 | |
Aetna
| Professional | $7.10 | $7.10 | $7.10 | |
CareFirst
| Professional | $7.58 | $41.38 | $94.60 | |
Cigna
| Facility | $15.40 | $16.02 | $34.52 | |
Cigna
| Professional | $5.16 | $10.74 | $13.42 | |
Kaiser Permanente
| Professional | $19.25 | $19.25 | $19.25 | |
United
| Professional | $5.55 | $5.99 | $20.53 |