| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $21.88 | $21.88 | |
CareFirst
| Professional | $31.62 | $31.62 | $31.62 | |
Cigna
| Facility | $28.18 | $28.18 | $28.18 | |
Cigna
| Professional | $28.18 | $28.18 | $29.51 | |
Kaiser Permanente
| Professional | $26.92 | $26.92 | $26.92 | |
United
| Professional | $14.45 | $21.88 | $25.12 |