| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.04 | $42.38 | $57.11 | |
Aetna
| Professional | $15.04 | $15.04 | $15.04 | |
CareFirst
| Professional | $1.51 | $23.36 | $39.51 | |
Cigna
| Facility | $14.19 | $14.19 | $15.04 | |
Kaiser Permanente
| Professional | $12.78 | $12.78 | $15.04 | |
United
| Professional | $13.69 | $15.04 | $24.38 |