| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.07 | $73.73 | $168.68 | |
Aetna
| Professional | $10.07 | $10.07 | $10.07 | |
CareFirst
| Professional | $10.80 | $48.17 | $120.01 | |
Cigna
| Facility | $21.80 | $22.67 | $48.80 | |
Cigna
| Professional | $7.27 | $15.28 | $19.10 | |
Kaiser Permanente
| Professional | $27.28 | $27.28 | $27.28 | |
United
| Professional | $5.64 | $7.60 | $12.21 |