| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.64 | $106.28 | $270.41 | |
Aetna
| Professional | $47.64 | $47.64 | $47.64 | |
CareFirst
| Professional | $45.50 | $45.50 | $45.50 | |
Cigna
| Facility | $50.10 | $50.10 | $50.10 | |
Kaiser Permanente
| Professional | $57.91 | $57.91 | $57.91 | |
United
| Professional | $44.28 | $53.53 | $64.23 |