| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $22.41 | $23.91 | |
CareFirst
| Professional | $19.14 | $24.17 | $96.00 | |
Cigna
| Professional | $25.79 | $81.06 | $116.06 | |
Kaiser Permanente
| Professional | $31.50 | $33.94 | $33.94 | |
United
| Professional | $18.37 | $33.94 | $72.79 |