| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.07 | $28.08 | $28.08 | |
CareFirst
| Professional | $24.00 | $31.02 | $115.20 | |
Cigna
| Professional | $20.58 | $83.54 | $116.06 | |
Kaiser Permanente
| Professional | $36.51 | $39.64 | $39.64 | |
United
| Professional | $21.72 | $39.64 | $87.09 |