| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $128.82 | $213.80 | |
Aetna
| Professional | $23.99 | $26.92 | $46.77 | |
CareFirst
| Professional | $25.12 | $38.90 | $354.81 | |
Cigna
| Facility | $57.54 | $58.88 | $134.90 | |
Cigna
| Professional | $20.89 | $38.90 | $158.49 | |
Kaiser Permanente
| Professional | $40.74 | $67.61 | $70.79 | |
United
| Facility | $41.69 | $41.69 | $41.69 | |
United
| Professional | $14.79 | $19.50 | $31.62 |