| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.62 | $49.18 | $66.27 | |
Aetna
| Professional | $17.62 | $17.62 | $17.62 | |
CareFirst
| Professional | $17.44 | $27.34 | $46.23 | |
Cigna
| Facility | $16.62 | $16.62 | $17.62 | |
Kaiser Permanente
| Professional | $14.98 | $14.98 | $17.62 | |
United
| Professional | $17.62 | $17.62 | $28.36 |