| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.14 | $69.95 | $99.35 | |
Aetna
| Professional | $8.65 | $8.65 | $8.65 | |
CareFirst
| Professional | $9.22 | $50.39 | $115.29 | |
Cigna
| Facility | $18.73 | $19.47 | $41.66 | |
Cigna
| Professional | $6.31 | $13.22 | $16.52 | |
Kaiser Permanente
| Professional | $23.44 | $23.44 | $23.44 | |
United
| Professional | $6.76 | $9.34 | $10.49 |