| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $15.85 | $16.98 | |
CareFirst
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $22.91 | $22.91 | $23.44 | |
Kaiser Permanente
| Professional | $21.38 | $21.38 | $21.38 | |
United
| Professional | $11.22 | $16.22 | $16.98 |