| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $14.13 | $14.13 | |
Aetna
| Professional | $12.88 | $14.13 | $19.05 | |
CareFirst
| Professional | $29.51 | $32.36 | $37.15 | |
Cigna
| Professional | $10.00 | $22.91 | $67.61 | |
Kaiser Permanente
| Professional | $18.20 | $37.15 | $50.12 | |
United
| Facility | $16.22 | $53.70 | $72.44 | |
United
| Professional | $31.62 | $44.67 | $75.86 |