| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.35 | $31.35 | $31.35 | |
Aetna
| Professional | $29.50 | $31.35 | $31.35 | |
CareFirst
| Professional | $32.57 | $32.57 | $32.57 | |
Cigna
| Facility | $31.35 | $31.35 | $31.35 | |
Cigna
| Professional | $31.35 | $31.35 | $35.18 | |
Kaiser Permanente
| Professional | $14.29 | $15.04 | $30.94 | |
United
| Professional | $30.73 | $34.21 | $40.26 |