| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.29 | $23.16 | $23.16 | |
CareFirst
| Professional | $28.22 | $28.22 | $98.14 | |
Cigna
| Professional | $93.93 | $104.41 | $118.94 | |
Kaiser Permanente
| Professional | $21.21 | $26.21 | $54.82 | |
United
| Professional | $23.37 | $38.78 | $69.42 |