| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $75.86 | $446.68 | |
Aetna
| Professional | $19.95 | $19.95 | $33.11 | |
CareFirst
| Professional | $33.88 | $43.65 | $91.20 | |
Cigna
| Facility | $19.50 | $20.42 | $20.42 | |
Kaiser Permanente
| Professional | $17.38 | $17.38 | $20.42 | |
United
| Professional | $20.42 | $20.42 | $33.11 |