| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.30 | $153.11 | $183.42 | |
Aetna
| Professional | $39.53 | $54.71 | $54.71 | |
CareFirst
| Professional | $52.84 | $55.01 | $158.40 | |
Cigna
| Professional | $35.65 | $48.51 | $81.06 | |
Kaiser Permanente
| Professional | $71.23 | $76.38 | $76.38 | |
United
| Professional | $44.84 | $68.98 | $174.39 |