| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.87 | $15.69 | $59.62 | |
Aetna
| Professional | $15.69 | $15.69 | $15.69 | |
CareFirst
| Professional | $9.36 | $15.70 | $15.85 | |
Cigna
| Facility | $14.81 | $14.81 | $15.69 | |
Kaiser Permanente
| Professional | $13.34 | $13.34 | $15.69 | |
United
| Professional | $14.28 | $15.69 | $25.43 |