| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.71 | $19.71 | $19.71 | |
Aetna
| Professional | $18.19 | $19.71 | $21.11 | |
CareFirst
| Professional | $22.79 | $22.79 | $28.94 | |
Cigna
| Professional | $18.86 | $26.17 | $66.73 | |
Kaiser Permanente
| Professional | $21.42 | $23.50 | $48.36 | |
United
| Professional | $16.17 | $22.28 | $49.44 |