| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.67 | $11.27 | $11.27 | |
CareFirst
| Professional | $10.98 | $12.07 | $79.20 | |
Cigna
| Professional | $14.26 | $81.30 | $116.06 | |
Kaiser Permanente
| Professional | $14.33 | $15.27 | $15.27 | |
United
| Professional | $11.55 | $15.89 | $35.65 |