| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $87.10 | $104.71 | |
Aetna
| Professional | $26.92 | $26.92 | $77.62 | |
CareFirst
| Professional | $33.88 | $38.90 | $81.28 | |
Cigna
| Facility | $25.12 | $27.54 | $27.54 | |
Kaiser Permanente
| Professional | $23.44 | $23.44 | $27.54 | |
United
| Facility | $27.54 | $27.54 | $27.54 | |
United
| Professional | $27.54 | $27.54 | $44.67 |