| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $70.79 | $93.33 | $125.89 | |
CareFirst
| Professional | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $60.26 | $60.26 | $173.78 | |
Kaiser Permanente
| Professional | $141.25 | $165.96 | $295.12 | |
United
| Facility | $74.13 | $74.13 | $74.13 | |
United
| Professional | $48.98 | $74.13 | $123.03 |