| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.52 | $240.73 | $468.84 | |
Aetna
| Professional | $50.52 | $50.52 | $50.52 | |
CareFirst
| Professional | $60.62 | $294.56 | $673.70 | |
Cigna
| Facility | $109.45 | $113.83 | $245.21 | |
Cigna
| Professional | $36.90 | $77.23 | $96.54 | |
Kaiser Permanente
| Professional | $136.91 | $136.91 | $136.91 | |
United
| Professional | $30.31 | $41.31 | $61.30 |