| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.15 | $72.18 | $140.60 | |
Aetna
| Professional | $15.15 | $15.15 | $15.15 | |
CareFirst
| Professional | $16.16 | $88.33 | $202.01 | |
Cigna
| Facility | $32.83 | $34.14 | $73.80 | |
Cigna
| Professional | $11.09 | $23.13 | $28.91 | |
Kaiser Permanente
| Professional | $41.06 | $41.06 | $41.06 | |
United
| Professional | $8.48 | $12.39 | $18.38 |