| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.53 | $17.53 | $17.53 | |
Aetna
| Professional | $17.25 | $17.53 | $27.45 | |
CareFirst
| Professional | $19.27 | $19.27 | $743.05 | |
Cigna
| Professional | $18.76 | $36.53 | $75.88 | |
Kaiser Permanente
| Professional | $18.63 | $20.36 | $40.57 | |
United
| Professional | $15.23 | $24.06 | $51.38 |