| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $20.89 | $707.95 | |
CareFirst
| Professional | $19.05 | $20.89 | $30.20 | |
Cigna
| Professional | $18.62 | $32.36 | $100.00 | |
Kaiser Permanente
| Professional | $30.90 | $57.54 | $57.54 | |
United
| Professional | $14.45 | $19.50 | $120.23 |