| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.05 | $63.05 | $147.25 | |
Aetna
| Professional | $18.05 | $18.05 | $18.05 | |
CareFirst
| Professional | $19.25 | $77.15 | $176.46 | |
Cigna
| Facility | $39.10 | $40.65 | $86.90 | |
Cigna
| Professional | $13.19 | $27.67 | $34.59 | |
Kaiser Permanente
| Professional | $48.91 | $48.91 | $48.91 | |
United
| Professional | $10.35 | $15.46 | $21.89 |