| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.29 | $59.29 | $59.29 | |
Aetna
| Professional | $46.68 | $59.29 | $59.29 | |
CareFirst
| Professional | $52.21 | $52.21 | $52.21 | |
Cigna
| Professional | $43.49 | $43.49 | $43.49 | |
Kaiser Permanente
| Professional | $79.12 | $161.05 | $161.05 | |
United
| Professional | $28.33 | $42.49 | $74.63 |