| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $97.72 | |
Aetna
| Professional | $10.00 | $27.54 | $114.82 | |
CareFirst
| Professional | $13.18 | $14.45 | $16.98 | |
Cigna
| Professional | $10.47 | $13.80 | $48.98 | |
Kaiser Permanente
| Professional | $13.80 | $14.79 | $28.18 | |
United
| Professional | $9.12 | $14.45 | $31.62 |