| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.20 | $62.58 | $180.19 | |
Aetna
| Professional | $31.20 | $31.20 | $31.20 | |
CareFirst
| Professional | $35.06 | $35.06 | $35.06 | |
Cigna
| Facility | $33.14 | $33.14 | $33.14 | |
Kaiser Permanente
| Professional | $50.78 | $50.78 | $50.78 | |
United
| Professional | $29.69 | $33.89 | $42.84 |