| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.06 | $42.06 | $42.06 | |
Aetna
| Professional | $33.15 | $42.06 | $42.06 | |
CareFirst
| Professional | $39.00 | $39.00 | $39.00 | |
Cigna
| Professional | $30.86 | $30.86 | $30.86 | |
Kaiser Permanente
| Professional | $56.04 | $114.24 | $114.24 | |
United
| Professional | $20.10 | $30.16 | $52.97 |