| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $74.13 | $169.82 | |
Aetna
| Professional | $10.00 | $10.00 | $51.29 | |
CareFirst
| Professional | $31.62 | $56.23 | $134.90 | |
Cigna
| Facility | $21.88 | $22.91 | $51.29 | |
Cigna
| Professional | $7.24 | $15.14 | $19.05 | |
Kaiser Permanente
| Professional | $23.44 | $23.44 | $27.54 | |
United
| Facility | $16.22 | $16.22 | $16.22 | |
United
| Professional | $5.62 | $8.13 | $18.62 |