| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.96 | $31.96 | $31.96 | |
Aetna
| Professional | $31.96 | $31.96 | $31.96 | |
CareFirst
| Professional | $30.08 | $30.08 | $30.08 | |
Cigna
| Facility | $31.96 | $31.96 | $31.96 | |
Cigna
| Professional | $31.96 | $31.96 | $31.96 | |
Kaiser Permanente
| Professional | $30.36 | $30.36 | $36.47 | |
United
| Professional | $37.60 | $37.60 | $60.94 |