| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.60 | $76.59 | $229.79 | |
Aetna
| Professional | $8.10 | $8.10 | $8.10 | |
CareFirst
| Professional | $8.67 | $26.86 | $108.09 | |
Cigna
| Facility | $17.55 | $18.25 | $39.28 | |
Cigna
| Professional | $5.93 | $12.39 | $15.49 | |
Kaiser Permanente
| Professional | $21.95 | $21.95 | $21.95 | |
United
| Professional | $3.60 | $9.83 | $9.83 |