| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.67 | $15.56 | $15.56 | |
CareFirst
| Professional | $16.47 | $21.84 | $98.40 | |
Cigna
| Professional | $17.72 | $81.30 | $116.06 | |
Kaiser Permanente
| Professional | $19.80 | $21.22 | $21.22 | |
United
| Professional | $17.07 | $24.40 | $49.56 |