| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.00 | $65.00 | $65.00 | |
Aetna
| Professional | $48.78 | $65.00 | $65.00 | |
CareFirst
| Professional | $64.56 | $64.56 | $64.56 | |
Cigna
| Professional | $70.36 | $70.36 | $84.30 | |
Kaiser Permanente
| Professional | $57.87 | $60.92 | $125.36 | |
United
| Facility | $81.36 | $81.36 | $81.36 | |
United
| Professional | $73.09 | $81.36 | $107.59 |