| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.06 | $146.91 | $322.80 | |
Aetna
| Professional | $63.06 | $63.06 | $63.06 | |
CareFirst
| Professional | $32.09 | $156.69 | $264.97 | |
Cigna
| Facility | $59.49 | $59.49 | $63.06 | |
Kaiser Permanente
| Professional | $53.60 | $53.60 | $63.06 | |
United
| Professional | $62.43 | $68.69 | $92.83 |