| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $40.74 | $85.11 | |
Aetna
| Professional | $10.00 | $10.00 | $51.29 | |
CareFirst
| Professional | $31.62 | $56.23 | $134.90 | |
Cigna
| Facility | $22.39 | $23.44 | $52.48 | |
Cigna
| Professional | $7.59 | $16.22 | $19.95 | |
Kaiser Permanente
| Professional | $23.99 | $23.99 | $28.18 | |
United
| Facility | $16.60 | $16.60 | $16.60 | |
United
| Professional | $5.75 | $8.32 | $18.62 |