| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.14 | $86.88 | $290.75 | |
Aetna
| Professional | $10.79 | $10.79 | $10.79 | |
CareFirst
| Professional | $11.54 | $48.17 | $143.85 | |
Cigna
| Facility | $23.38 | $24.31 | $52.38 | |
Cigna
| Professional | $7.84 | $16.52 | $20.65 | |
Kaiser Permanente
| Professional | $29.23 | $29.23 | $29.23 | |
United
| Professional | $6.04 | $8.63 | $13.09 |