| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $27.54 | $109.65 | |
Aetna
| Professional | $7.94 | $8.91 | $51.29 | |
CareFirst
| Professional | $31.62 | $56.23 | $134.90 | |
Cigna
| Facility | $19.50 | $20.42 | $46.77 | |
Cigna
| Professional | $6.46 | $13.49 | $16.98 | |
Kaiser Permanente
| Professional | $23.44 | $23.44 | $24.55 | |
United
| Facility | $14.45 | $14.45 | $14.45 | |
United
| Professional | $5.01 | $7.59 | $18.62 |