| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.37 | $69.64 | $84.58 | |
Aetna
| Professional | $10.37 | $10.37 | $10.37 | |
CareFirst
| Professional | $11.06 | $48.17 | $120.01 | |
Cigna
| Facility | $22.45 | $23.35 | $50.00 | |
Cigna
| Professional | $7.65 | $16.11 | $20.13 | |
Kaiser Permanente
| Professional | $28.09 | $28.09 | $28.09 | |
United
| Professional | $6.46 | $7.60 | $18.78 |