| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.08 | $38.02 | $75.86 | |
Aetna
| Professional | $7.08 | $8.91 | $46.77 | |
CareFirst
| Professional | $29.51 | $52.48 | $114.82 | |
Cigna
| Facility | $16.60 | $17.38 | $39.81 | |
Cigna
| Professional | $5.75 | $12.02 | $15.14 | |
Kaiser Permanente
| Professional | $19.95 | $19.95 | $20.89 | |
United
| Facility | $12.30 | $12.30 | $12.30 | |
United
| Professional | $4.37 | $6.61 | $17.78 |