| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.40 | $25.40 | $207.22 | |
Aetna
| Professional | $25.40 | $25.40 | $26.41 | |
CareFirst
| Professional | $27.09 | $27.09 | $27.09 | |
Cigna
| Facility | $55.03 | $57.23 | $122.61 | |
Cigna
| Professional | $39.63 | $39.63 | $43.55 | |
Kaiser Permanente
| Professional | $38.94 | $68.83 | $68.83 | |
United
| Professional | $14.22 | $20.32 | $53.84 |