| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.79 | $112.57 | $333.68 | |
Aetna
| Professional | $73.79 | $73.79 | $73.79 | |
CareFirst
| Professional | $82.82 | $109.56 | $185.26 | |
Cigna
| Facility | $69.62 | $69.62 | $93.78 | |
Kaiser Permanente
| Professional | $62.72 | $62.72 | $73.79 | |
United
| Professional | $84.09 | $95.98 | $118.61 |