| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.11 | $55.35 | $171.91 | |
Aetna
| Professional | $15.25 | $19.50 | $47.18 | |
CareFirst
| Professional | $19.61 | $19.61 | $78.64 | |
Cigna
| Facility | $30.60 | $31.29 | $35.76 | |
Cigna
| Professional | $8.98 | $30.81 | $133.53 | |
Kaiser Permanente
| Professional | $41.75 | $52.24 | $52.24 | |
United
| Professional | $16.36 | $45.92 | $95.00 |