| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $104.71 | $128.82 | |
Aetna
| Professional | $33.11 | $33.11 | $50.12 | |
CareFirst
| Professional | $41.69 | $47.86 | $100.00 | |
Cigna
| Facility | $32.36 | $33.88 | $33.88 | |
Kaiser Permanente
| Professional | $28.84 | $28.84 | $33.88 | |
United
| Facility | $33.88 | $33.88 | $33.88 | |
United
| Professional | $32.36 | $33.88 | $43.65 |