| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $97.72 | $151.36 | |
Aetna
| Professional | $10.00 | $12.88 | $36.31 | |
CareFirst
| Professional | $79.43 | $79.43 | $79.43 | |
Cigna
| Facility | $13.18 | $13.18 | $13.18 | |
Cigna
| Professional | $13.18 | $13.18 | $13.18 | |
Kaiser Permanente
| Professional | $12.59 | $12.59 | $83.18 | |
United
| Professional | $12.88 | $12.88 | $20.89 |