| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.02 | $60.02 | $60.02 | |
Aetna
| Professional | $60.02 | $60.02 | $84.85 | |
CareFirst
| Professional | $79.00 | $79.00 | $100.25 | |
Cigna
| Professional | $74.90 | $74.90 | $74.90 | |
Kaiser Permanente
| Professional | $95.33 | $95.33 | $291.12 | |
United
| Professional | $48.78 | $73.17 | $153.90 |