| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $67.61 | $81.28 | |
CareFirst
| Professional | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $36.31 | $36.31 | $36.31 | |
Kaiser Permanente
| Professional | $81.28 | $95.50 | $134.90 | |
United
| Facility | $95.50 | $95.50 | $95.50 | |
United
| Professional | $30.90 | $46.77 | $63.10 |