| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $23.99 | $89.13 | |
CareFirst
| Professional | $22.91 | $25.12 | $28.18 | |
Cigna
| Professional | $18.20 | $22.91 | $100.00 | |
Kaiser Permanente
| Professional | $19.95 | $24.55 | $33.88 | |
United
| Professional | $18.20 | $25.12 | $60.26 |