| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $25.12 | $37.15 | |
CareFirst
| Professional | $28.18 | $61.66 | $204.17 | |
Cigna
| Professional | $14.13 | $27.54 | $60.26 | |
Kaiser Permanente
| Professional | $39.81 | $39.81 | $72.44 | |
United
| Professional | $21.88 | $39.81 | $81.28 |