| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.91 | $14.03 | $17.87 | |
CareFirst
| Professional | $65.00 | $65.00 | $65.00 | |
Cigna
| Facility | $32.45 | $32.45 | $32.45 | |
Cigna
| Professional | $14.57 | $14.57 | $14.57 | |
Kaiser Permanente
| Professional | $16.35 | $21.25 | $32.09 | |
United
| Professional | $10.48 | $12.97 | $23.76 |