| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.64 | $21.64 | $21.64 | |
CareFirst
| Professional | $5.40 | $5.40 | $5.89 | |
Cigna
| Facility | $0.15 | $0.47 | $0.54 | |
Cigna
| Professional | $2.52 | $4.23 | $10.36 | |
Kaiser Permanente
| Professional | $20.63 | $20.63 | $20.63 | |
United
| Professional | $1.49 | $1.65 | $9.75 |