| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $74.13 | $123.03 | |
Aetna
| Professional | $15.14 | $15.14 | $91.20 | |
CareFirst
| Professional | $57.54 | $102.33 | $223.87 | |
Cigna
| Facility | $33.11 | $33.88 | $77.62 | |
Cigna
| Professional | $10.96 | $22.91 | $28.84 | |
Kaiser Permanente
| Professional | $38.90 | $38.90 | $40.74 | |
United
| Facility | $23.99 | $23.99 | $23.99 | |
United
| Professional | $8.51 | $12.88 | $34.67 |