| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.57 | $24.88 | $24.88 | |
CareFirst
| Professional | $19.89 | $25.75 | $28.07 | |
Cigna
| Professional | $11.91 | $16.78 | $114.72 | |
Kaiser Permanente
| Professional | $37.25 | $66.95 | $66.95 | |
United
| Professional | $0.04 | $18.89 | $47.02 |