| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.51 | $16.51 | $16.51 | |
Aetna
| Professional | $16.51 | $16.51 | $16.51 | |
CareFirst
| Professional | $21.20 | $21.20 | $27.58 | |
Cigna
| Professional | $16.86 | $16.86 | $16.86 | |
Kaiser Permanente
| Professional | $26.23 | $26.23 | $80.09 | |
United
| Professional | $13.42 | $20.13 | $30.25 |