| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $25.70 | $25.70 | |
CareFirst
| Professional | $44.67 | $44.67 | $44.67 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $30.90 | $30.90 | $31.62 | |
Kaiser Permanente
| Professional | $28.84 | $28.84 | $28.84 | |
United
| Professional | $16.60 | $25.12 | $30.90 |