| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.72 | $30.72 | $30.72 | |
Aetna
| Professional | $28.91 | $30.72 | $30.72 | |
CareFirst
| Professional | $28.91 | $28.91 | $28.91 | |
Cigna
| Facility | $30.72 | $30.72 | $30.72 | |
Cigna
| Professional | $11.43 | $30.72 | $30.72 | |
Kaiser Permanente
| Professional | $19.66 | $32.53 | $40.47 | |
United
| Professional | $30.00 | $33.40 | $44.16 |