| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $54.95 | $67.61 | |
Aetna
| Professional | $16.98 | $16.98 | $501.19 | |
CareFirst
| Professional | $23.99 | $26.92 | $56.23 | |
Cigna
| Facility | $16.60 | $17.78 | $17.78 | |
Kaiser Permanente
| Professional | $15.14 | $15.14 | $17.78 | |
United
| Facility | $17.78 | $17.78 | $17.78 | |
United
| Professional | $17.78 | $17.78 | $28.84 |