| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.42 | $22.42 | $22.42 | |
Aetna
| Professional | $15.93 | $22.42 | $22.42 | |
CareFirst
| Professional | $18.88 | $18.88 | $18.88 | |
Cigna
| Professional | $13.54 | $13.54 | $13.54 | |
Kaiser Permanente
| Professional | $31.52 | $65.86 | $65.86 | |
United
| Professional | $11.03 | $16.55 | $29.07 |