| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.40 | $35.40 | $35.40 | |
Aetna
| Professional | $35.40 | $35.40 | $35.40 | |
CareFirst
| Professional | $37.54 | $37.54 | $37.54 | |
Cigna
| Facility | $35.40 | $35.40 | $35.40 | |
Kaiser Permanente
| Professional | $7.13 | $7.13 | $7.13 | |
United
| Professional | $31.60 | $34.72 | $50.08 |