| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.67 | $16.67 | $17.34 | |
CareFirst
| Professional | $21.64 | $21.64 | $27.94 | |
Cigna
| Professional | $19.34 | $28.99 | $166.72 | |
Kaiser Permanente
| Professional | $25.56 | $45.19 | $45.19 | |
United
| Professional | $13.34 | $14.45 | $47.70 |