| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.25 | $39.34 | $91.80 | |
Aetna
| Professional | $11.25 | $11.25 | $11.25 | |
CareFirst
| Professional | $12.00 | $48.17 | $120.01 | |
Cigna
| Facility | $24.38 | $25.35 | $54.76 | |
Cigna
| Professional | $8.22 | $16.93 | $21.17 | |
Kaiser Permanente
| Professional | $30.49 | $30.49 | $30.49 | |
United
| Professional | $6.46 | $7.60 | $13.65 |