| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.25 | $16.25 | $132.62 | |
Aetna
| Professional | $16.25 | $16.25 | $16.25 | |
CareFirst
| Professional | $15.17 | $56.62 | $123.92 | |
Cigna
| Facility | $35.22 | $36.63 | $78.56 | |
Cigna
| Professional | $11.86 | $24.78 | $30.98 | |
Kaiser Permanente
| Professional | $44.05 | $44.05 | $44.05 | |
United
| Professional | $7.60 | $13.00 | $22.61 |