| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.47 | $27.47 | $224.11 | |
Aetna
| Professional | $27.47 | $27.47 | $28.56 | |
CareFirst
| Professional | $36.61 | $40.28 | $325.05 | |
Cigna
| Facility | $59.50 | $61.88 | $133.32 | |
Cigna
| Professional | $22.12 | $115.78 | $285.82 | |
Kaiser Permanente
| Professional | $42.11 | $74.44 | $74.44 | |
United
| Professional | $15.38 | $29.66 | $58.23 |