| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $63.74 | $78.70 | |
Aetna
| Professional | $4.97 | $4.97 | $4.97 | |
CareFirst
| Professional | $5.30 | $28.98 | $66.38 | |
Cigna
| Facility | $10.78 | $11.21 | $23.81 | |
Cigna
| Professional | $3.63 | $7.43 | $9.28 | |
Kaiser Permanente
| Professional | $13.48 | $13.48 | $13.48 | |
United
| Professional | $3.89 | $4.07 | $6.03 |