| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.51 | $43.44 | $43.44 | |
Aetna
| Professional | $37.51 | $37.51 | $50.39 | |
CareFirst
| Professional | $51.17 | $51.17 | $51.17 | |
Cigna
| Professional | $42.78 | $42.78 | $42.78 | |
Kaiser Permanente
| Professional | $59.57 | $59.57 | $181.93 | |
United
| Professional | $30.48 | $41.29 | $68.70 |