| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.67 | $19.67 | $20.45 | |
CareFirst
| Professional | $20.38 | $20.38 | $28.61 | |
Cigna
| Professional | $20.75 | $29.93 | $176.68 | |
Kaiser Permanente
| Professional | $30.15 | $53.30 | $53.30 | |
United
| Professional | $15.73 | $20.98 | $56.27 |