| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $74.13 | $123.03 | |
Aetna
| Professional | $15.14 | $15.14 | $89.13 | |
CareFirst
| Professional | $14.45 | $23.99 | $208.93 | |
Cigna
| Facility | $32.36 | $33.88 | $75.86 | |
Cigna
| Professional | $12.02 | $16.60 | $91.20 | |
Kaiser Permanente
| Professional | $22.91 | $38.90 | $40.74 | |
United
| Facility | $23.99 | $23.99 | $23.99 | |
United
| Professional | $8.51 | $11.75 | $18.20 |