| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.66 | $42.66 | $43.65 | |
CareFirst
| Professional | $60.26 | $60.26 | $60.26 | |
Cigna
| Facility | $54.95 | $54.95 | $54.95 | |
Cigna
| Professional | $54.95 | $54.95 | $56.23 | |
Kaiser Permanente
| Professional | $54.95 | $54.95 | $54.95 | |
United
| Professional | $28.18 | $41.69 | $43.65 |