| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.84 | $72.20 | $113.93 | |
Aetna
| Professional | $29.84 | $29.84 | $29.84 | |
CareFirst
| Professional | $24.45 | $65.92 | $111.46 | |
Cigna
| Facility | $28.15 | $28.15 | $29.84 | |
Kaiser Permanente
| Professional | $25.36 | $25.36 | $29.84 | |
United
| Professional | $27.15 | $29.84 | $48.36 |