| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.98 | $44.83 | $48.78 | |
Aetna
| Professional | $5.98 | $5.98 | $5.98 | |
CareFirst
| Professional | $6.40 | $12.68 | $79.73 | |
Cigna
| Facility | $12.95 | $13.47 | $28.57 | |
Cigna
| Professional | $4.40 | $9.50 | $11.87 | |
Kaiser Permanente
| Professional | $16.20 | $16.20 | $16.20 | |
United
| Professional | $1.78 | $4.78 | $7.25 |