| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $275.42 | $933.25 | |
Aetna
| Professional | $7.94 | $26.30 | $47.86 | |
CareFirst
| Professional | $30.20 | $53.70 | $117.49 | |
Cigna
| Facility | $16.98 | $17.78 | $39.81 | |
Cigna
| Professional | $5.75 | $12.30 | $15.49 | |
Kaiser Permanente
| Professional | $20.42 | $20.42 | $20.42 | |
United
| Facility | $12.59 | $12.59 | $12.59 | |
United
| Professional | $4.47 | $6.76 | $18.20 |