| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $66.07 | $91.20 | |
CareFirst
| Professional | $69.18 | $72.44 | $91.20 | |
Cigna
| Professional | $61.66 | $89.13 | $177.83 | |
Kaiser Permanente
| Professional | $61.66 | $69.18 | $151.36 | |
United
| Facility | $58.88 | $58.88 | $58.88 | |
United
| Professional | $58.88 | $83.18 | $154.88 |