| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.77 | $58.66 | $114.31 | |
Aetna
| Professional | $13.77 | $13.77 | $13.77 | |
CareFirst
| Professional | $14.69 | $71.80 | $164.26 | |
Cigna
| Facility | $29.83 | $31.02 | $66.66 | |
Cigna
| Professional | $10.13 | $21.06 | $26.33 | |
Kaiser Permanente
| Professional | $37.32 | $37.32 | $37.32 | |
United
| Professional | $7.71 | $10.40 | $16.71 |