| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.43 | $63.05 | $134.03 | |
Aetna
| Professional | $16.43 | $16.43 | $16.43 | |
CareFirst
| Professional | $17.52 | $77.15 | $176.46 | |
Cigna
| Facility | $35.60 | $37.02 | $79.75 | |
Cigna
| Professional | $12.05 | $25.19 | $31.49 | |
Kaiser Permanente
| Professional | $44.52 | $44.52 | $44.52 | |
United
| Professional | $9.86 | $11.17 | $19.93 |