| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.50 | $23.50 | $191.74 | |
Aetna
| Professional | $23.50 | $23.50 | $23.50 | |
CareFirst
| Professional | $25.06 | $25.06 | $28.20 | |
Cigna
| Facility | $50.90 | $52.94 | $114.27 | |
Cigna
| Professional | $35.93 | $35.93 | $44.91 | |
Kaiser Permanente
| Professional | $63.68 | $63.68 | $63.68 | |
United
| Professional | $13.16 | $18.80 | $28.51 |