| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $28.84 | $40.74 | $95.50 | |
CareFirst
| Professional | $29.51 | $29.51 | $29.51 | |
Cigna
| Professional | $20.89 | $20.89 | $60.26 | |
Kaiser Permanente
| Professional | $50.12 | $57.54 | $102.33 | |
United
| Facility | $25.70 | $25.70 | $25.70 | |
United
| Professional | $16.98 | $25.70 | $42.66 |