| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.12 | $62.70 | $62.70 | |
CareFirst
| Professional | $74.45 | $74.91 | $82.72 | |
Cigna
| Professional | $33.21 | $52.00 | $289.08 | |
Kaiser Permanente
| Professional | $92.56 | $169.18 | $169.18 | |
Kaiser Permanente
| Professional | 26 | $22.52 | $40.96 | $40.96 |
United
| Professional | $39.61 | $52.83 | $178.60 |