| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.15 | $63.57 | $188.86 | |
Aetna
| Professional | $23.15 | $23.15 | $23.15 | |
CareFirst
| Professional | $24.69 | $101.73 | $229.54 | |
Cigna
| Facility | $50.15 | $52.16 | $111.89 | |
Cigna
| Professional | $16.82 | $35.52 | $44.40 | |
Kaiser Permanente
| Professional | $62.73 | $62.73 | $62.73 | |
United
| Professional | $14.07 | $14.53 | $28.08 |