| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.60 | $86.48 | $93.06 | |
Aetna
| Professional | $10.60 | $10.60 | $10.60 | |
CareFirst
| Professional | $11.30 | $48.17 | $120.01 | |
Cigna
| Facility | $22.95 | $23.87 | $51.19 | |
Cigna
| Professional | $7.65 | $16.52 | $20.65 | |
Kaiser Permanente
| Professional | $28.72 | $28.72 | $28.72 | |
United
| Professional | $5.93 | $7.60 | $12.86 |