| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $64.57 | $147.91 | |
Aetna
| Professional | $15.85 | $18.20 | $79.43 | |
CareFirst
| Professional | $50.12 | $89.13 | $194.98 | |
Cigna
| Facility | $38.90 | $40.74 | $91.20 | |
Cigna
| Professional | $13.18 | $27.54 | $34.67 | |
Kaiser Permanente
| Professional | $41.69 | $41.69 | $48.98 | |
United
| Facility | $28.84 | $28.84 | $28.84 | |
United
| Professional | $10.00 | $14.45 | $30.20 |