| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.22 | $88.97 | $119.89 | |
Aetna
| Professional | $32.22 | $32.22 | $32.22 | |
CareFirst
| Professional | $53.57 | $53.57 | $53.57 | |
Cigna
| Facility | $30.39 | $30.39 | $32.22 | |
Kaiser Permanente
| Professional | $27.39 | $27.39 | $32.22 | |
United
| Professional | $29.32 | $32.22 | $52.22 |