| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $28.18 | $28.18 | |
CareFirst
| Professional | $37.15 | $37.15 | $37.15 | |
Cigna
| Facility | $26.30 | $26.30 | $26.30 | |
Cigna
| Professional | $26.30 | $26.30 | $26.92 | |
Kaiser Permanente
| Professional | $35.48 | $35.48 | $35.48 | |
United
| Professional | $18.20 | $26.92 | $29.51 |