| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $19.95 | $20.89 | |
CareFirst
| Professional | $33.88 | $33.88 | $33.88 | |
Cigna
| Facility | $24.55 | $24.55 | $24.55 | |
Cigna
| Professional | $24.55 | $24.55 | $25.12 | |
Kaiser Permanente
| Professional | $22.91 | $22.91 | $22.91 | |
United
| Professional | $13.49 | $19.95 | $24.55 |