| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.43 | $39.34 | $85.13 | |
Aetna
| Professional | $10.43 | $10.43 | $10.43 | |
CareFirst
| Professional | $11.13 | $48.17 | $120.01 | |
Cigna
| Facility | $22.60 | $23.50 | $50.00 | |
Cigna
| Professional | $7.65 | $16.11 | $20.13 | |
Kaiser Permanente
| Professional | $28.27 | $28.27 | $28.27 | |
United
| Professional | $6.75 | $9.36 | $12.66 |