| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.42 | $91.04 | $136.53 | |
Aetna
| Professional | $56.42 | $56.42 | $56.42 | |
CareFirst
| Professional | $7.73 | $7.73 | $7.73 | |
Cigna
| Facility | $56.42 | $56.42 | $56.42 | |
Cigna
| Professional | $56.42 | $56.42 | $56.42 | |
Kaiser Permanente
| Professional | $53.60 | $53.60 | $102.11 | |
United
| Professional | $56.50 | $56.50 | $91.57 |