| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.69 | $88.41 | $119.13 | |
Aetna
| Professional | $36.69 | $36.69 | $36.69 | |
CareFirst
| Professional | $31.35 | $49.78 | $84.17 | |
Cigna
| Facility | $34.61 | $34.61 | $36.69 | |
Kaiser Permanente
| Professional | $31.19 | $31.19 | $36.69 | |
United
| Professional | $33.39 | $36.69 | $59.47 |