| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.76 | $38.76 | $38.76 | |
Aetna
| Professional | $36.47 | $38.76 | $38.76 | |
CareFirst
| Professional | $40.28 | $40.28 | $40.28 | |
Cigna
| Facility | $38.76 | $38.76 | $38.76 | |
Cigna
| Professional | $38.76 | $38.76 | $43.49 | |
Kaiser Permanente
| Professional | $81.88 | $100.00 | $100.00 | |
United
| Professional | $38.00 | $42.30 | $55.94 |