| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.34 | $70.34 | $70.34 | |
Aetna
| Professional | $70.34 | $70.34 | $87.73 | |
CareFirst
| Professional | $92.00 | $92.00 | $117.50 | |
Cigna
| Professional | $70.61 | $70.61 | $70.61 | |
Kaiser Permanente
| Professional | $111.72 | $111.72 | $341.19 | |
United
| Professional | $57.17 | $79.93 | $180.36 |