| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.46 | $22.46 | $22.46 | |
Aetna
| Professional | $21.53 | $22.46 | $22.46 | |
CareFirst
| Professional | $21.42 | $21.42 | $21.42 | |
Cigna
| Professional | $13.56 | $18.01 | $18.01 | |
Kaiser Permanente
| Professional | $31.57 | $65.95 | $65.95 | |
United
| Professional | $11.05 | $16.57 | $29.12 |