| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $15.14 | $20.89 | $26.92 | |
CareFirst
| Professional | $23.44 | $23.44 | $23.99 | |
Cigna
| Facility | $20.89 | $20.89 | $20.89 | |
Cigna
| Professional | $17.38 | $17.38 | $21.38 | |
Kaiser Permanente
| Professional | $48.98 | $48.98 | $67.61 | |
United
| Professional | $11.48 | $16.98 | $30.20 |