| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $52.48 | |
Aetna
| Professional | $41.69 | $79.43 | $194.98 | |
CareFirst
| Professional | $56.23 | $56.23 | $74.13 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $42.66 | $42.66 | $61.66 | |
Kaiser Permanente
| Professional | $69.18 | $151.36 | $208.93 | |
United
| Facility | $147.91 | $147.91 | $147.91 | |
United
| Professional | $34.67 | $52.48 | $97.72 |