| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.42 | $28.68 | $28.68 | |
CareFirst
| Professional | $36.45 | $36.45 | $48.48 | |
Cigna
| Professional | $15.24 | $24.17 | $132.24 | |
Kaiser Permanente
| Professional | $41.20 | $74.15 | $74.15 | |
Kaiser Permanente
| Professional | 26 | $31.46 | $56.43 | $56.43 |
United
| Professional | $21.65 | $26.17 | $78.28 |