| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.12 | $74.66 | $9,968.81 | |
Aetna
| Professional | $25.77 | $25.77 | $31.07 | |
CareFirst
| Professional | $23.93 | $23.93 | $25.76 | |
Cigna
| Facility | $20.23 | $20.23 | $25.77 | |
Cigna
| Professional | $25.77 | $25.77 | $29.10 | |
Kaiser Permanente
| Professional | $21.90 | $21.90 | $28.53 | |
United
| Professional | $25.77 | $28.69 | $37.85 |