| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $26.30 | $100.00 | |
Aetna
| Professional | $7.94 | $8.91 | $51.29 | |
CareFirst
| Professional | $33.11 | $58.88 | $128.82 | |
Cigna
| Facility | $18.62 | $19.50 | $43.65 | |
Cigna
| Professional | $6.31 | $13.18 | $16.60 | |
Kaiser Permanente
| Professional | $22.39 | $22.39 | $23.44 | |
United
| Facility | $13.80 | $13.80 | $13.80 | |
United
| Professional | $4.79 | $7.24 | $19.50 |