| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.54 | $111.73 | $150.56 | |
Aetna
| Professional | $39.54 | $39.54 | $39.54 | |
CareFirst
| Professional | $39.54 | $49.83 | $84.26 | |
Cigna
| Facility | $37.29 | $37.29 | $39.54 | |
Kaiser Permanente
| Professional | $33.61 | $33.61 | $39.54 | |
United
| Professional | $35.97 | $39.54 | $64.09 |