| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.96 | $19.96 | $20.76 | |
CareFirst
| Professional | $23.95 | $26.61 | $37.01 | |
Cigna
| Professional | $19.73 | $32.04 | $112.38 | |
Kaiser Permanente
| Professional | $30.60 | $54.09 | $54.09 | |
United
| Professional | $15.97 | $46.96 | $112.73 |