| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.25 | $1.25 | $1.25 | |
CareFirst
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $17.00 | $17.00 | $17.00 | |
Kaiser Permanente
| Professional | $7.00 | $7.00 | $10.00 |