| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.36 | $127.36 | $212.09 | |
Aetna
| Professional | $15.61 | $15.61 | $15.61 | |
CareFirst
| Professional | $16.64 | $90.99 | $208.10 | |
Cigna
| Facility | $33.83 | $35.18 | $76.18 | |
Cigna
| Professional | $11.47 | $23.95 | $29.94 | |
Kaiser Permanente
| Professional | $42.30 | $42.30 | $42.30 | |
United
| Professional | $12.21 | $12.76 | $18.94 |