| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.45 | $25.45 | $25.45 | |
Aetna
| Professional | $25.45 | $25.45 | $25.45 | |
CareFirst
| Professional | $21.43 | $21.43 | $25.74 | |
Cigna
| Professional | $16.19 | $16.19 | $16.46 | |
Kaiser Permanente
| Professional | $74.73 | $74.73 | $74.73 | |
United
| Professional | $11.22 | $18.79 | $31.09 |