| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.84 | $18.84 | $18.84 | |
Aetna
| Professional | $8.82 | $18.84 | $18.84 | |
CareFirst
| Professional | $15.56 | $15.56 | $19.05 | |
Cigna
| Professional | $12.25 | $12.25 | $12.25 | |
Kaiser Permanente
| Professional | $55.33 | $55.33 | $55.33 | |
United
| Professional | $9.27 | $13.91 | $24.42 |