| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.61 | $39.34 | $102.88 | |
Aetna
| Professional | $12.61 | $12.61 | $12.61 | |
CareFirst
| Professional | $11.77 | $48.17 | $120.01 | |
Cigna
| Facility | $27.33 | $28.42 | $60.71 | |
Cigna
| Professional | $9.18 | $19.41 | $24.26 | |
Kaiser Permanente
| Professional | $34.17 | $34.17 | $34.17 | |
United
| Professional | $6.75 | $10.09 | $15.30 |