| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $60.26 | $114.82 | |
Aetna
| Professional | $10.00 | $12.88 | $50.12 | |
CareFirst
| Professional | $46.77 | $83.18 | $181.97 | |
Cigna
| Facility | $29.51 | $30.90 | $69.18 | |
Cigna
| Professional | $10.23 | $20.89 | $26.30 | |
Kaiser Permanente
| Professional | $32.36 | $32.36 | $37.15 | |
United
| Facility | $21.88 | $21.88 | $21.88 | |
United
| Professional | $7.76 | $10.96 | $28.18 |