| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $10.00 | $14.13 | $19.05 | |
CareFirst
| Professional | $16.22 | $16.22 | $16.98 | |
Cigna
| Facility | $15.85 | $15.85 | $16.60 | |
Cigna
| Professional | $9.77 | $13.49 | $16.60 | |
Kaiser Permanente
| Professional | $34.67 | $34.67 | $47.86 | |
United
| Professional | $7.94 | $12.02 | $20.89 |