| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $315.00 | $333.00 | |
Aetna
| Professional | $30.00 | $30.00 | $240.00 | |
CareFirst
| Professional | $122.38 | $122.38 | $122.38 | |
Cigna
| Professional | $106.00 | $173.00 | $218.55 | |
Kaiser Permanente
| Professional | $152.00 | $152.00 | $152.00 |