| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $72.44 | $120.23 | |
Aetna
| Professional | $14.13 | $15.14 | $87.10 | |
CareFirst
| Professional | $56.23 | $100.00 | $218.78 | |
Cigna
| Facility | $31.62 | $33.11 | $74.13 | |
Cigna
| Professional | $10.72 | $22.91 | $28.18 | |
Kaiser Permanente
| Professional | $38.02 | $38.02 | $38.02 | |
United
| Facility | $23.44 | $23.44 | $23.44 | |
United
| Professional | $8.32 | $12.30 | $33.11 |