| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.99 | $33.60 | $92.17 | |
Aetna
| Professional | $2.29 | $2.29 | $24.69 | |
CareFirst
| Professional | $1.95 | $1.95 | $5.82 | |
Cigna
| Facility | $2.16 | $2.16 | $2.29 | |
Cigna
| Professional | $2.29 | $2.29 | $3.10 | |
Kaiser Permanente
| Professional | $1.95 | $2.29 | $10.03 | |
United
| Professional | $2.29 | $2.56 | $11.44 |