| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.02 | $59.58 | $112.29 | |
Aetna
| Professional | $31.67 | $31.67 | $31.67 | |
CareFirst
| Professional | $33.34 | $47.90 | $80.98 | |
Cigna
| Facility | $32.76 | $32.76 | $32.76 | |
Kaiser Permanente
| Professional | $26.92 | $26.92 | $31.67 | |
United
| Professional | $28.97 | $33.06 | $38.09 |