| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.69 | $70.02 | $136.37 | |
Aetna
| Professional | $14.69 | $14.69 | $14.69 | |
CareFirst
| Professional | $15.72 | $86.83 | $195.91 | |
Cigna
| Facility | $31.83 | $33.10 | $71.42 | |
Cigna
| Professional | $10.71 | $22.72 | $28.39 | |
Kaiser Permanente
| Professional | $39.82 | $39.82 | $39.82 | |
United
| Professional | $8.23 | $12.41 | $42.50 |