| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.36 | $48.36 | $48.36 | |
Aetna
| Professional | $48.36 | $48.36 | $48.36 | |
CareFirst
| Professional | $65.95 | $65.95 | $80.77 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Kaiser Permanente
| Professional | $76.80 | $76.80 | $234.53 | |
United
| Professional | $39.29 | $58.94 | $123.98 |