| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $57.54 | $95.50 | |
Aetna
| Professional | $10.96 | $14.13 | $69.18 | |
CareFirst
| Professional | $44.67 | $79.43 | $173.78 | |
Cigna
| Facility | $25.12 | $26.30 | $58.88 | |
Cigna
| Professional | $8.32 | $17.78 | $22.39 | |
Kaiser Permanente
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $18.62 | $18.62 | $18.62 | |
United
| Professional | $9.33 | $15.14 | $23.44 |