| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.75 | $26.75 | $26.75 | |
Aetna
| Professional | $26.75 | $26.75 | $26.75 | |
CareFirst
| Professional | $27.00 | $27.00 | $27.00 | |
Cigna
| Professional | $25.38 | $25.38 | $25.38 | |
Kaiser Permanente
| Professional | $32.61 | $32.61 | $99.64 | |
United
| Professional | $16.70 | $25.04 | $35.47 |