| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.44 | $35.44 | $289.17 | |
Aetna
| Professional | $35.44 | $35.44 | $36.86 | |
CareFirst
| Professional | $47.25 | $51.98 | $600.74 | |
Cigna
| Facility | $76.78 | $79.84 | $171.41 | |
Cigna
| Professional | $28.42 | $149.01 | $369.41 | |
Kaiser Permanente
| Professional | $54.34 | $96.05 | $96.05 | |
United
| Facility | $56.70 | $56.70 | $56.70 | |
United
| Professional | $19.85 | $28.35 | $75.13 |