| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $18.39 | $18.39 | |
Aetna
| Professional | $18.39 | $18.39 | $18.39 | |
CareFirst
| Professional | $47.79 | $47.79 | $50.18 | |
Cigna
| Professional | $22.11 | $22.11 | $22.11 | |
Kaiser Permanente
| Professional | $26.06 | $26.06 | $82.51 | |
United
| Professional | $16.44 | $27.50 | $44.35 |