| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.86 | $24.86 | $24.86 | |
Aetna
| Professional | $24.86 | $24.86 | $24.86 | |
CareFirst
| Professional | $24.86 | $43.26 | $73.15 | |
Cigna
| Facility | $27.44 | $27.44 | $27.44 | |
Kaiser Permanente
| Professional | $56.49 | $56.49 | $56.49 | |
United
| Professional | $27.51 | $29.25 | $36.17 |