| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.73 | $28.73 | $32.09 | |
Aetna
| Professional | $28.73 | $32.09 | $40.07 | |
CareFirst
| Professional | $41.65 | $41.65 | $41.65 | |
Cigna
| Professional | $41.64 | $41.64 | $53.03 | |
Kaiser Permanente
| Professional | $27.20 | $31.58 | $40.79 | |
United
| Professional | $47.14 | $47.14 | $68.00 |