| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.50 | $31.50 | $31.50 | |
Aetna
| Professional | $31.50 | $31.50 | $31.50 | |
CareFirst
| Professional | $41.00 | $41.00 | $41.00 | |
Cigna
| Professional | $39.81 | $39.81 | $39.81 | |
Kaiser Permanente
| Professional | $50.02 | $50.02 | $152.76 | |
United
| Professional | $25.60 | $38.39 | $57.69 |