| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.99 | $35.99 | $35.99 | |
CareFirst
| Professional | $37.10 | $38.81 | $42.30 | |
Cigna
| Professional | $19.23 | $24.85 | $179.22 | |
Kaiser Permanente
| Professional | $51.82 | $94.26 | $94.26 | |
United
| Professional | $30.12 | $36.09 | $92.01 |