| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.42 | $29.92 | $29.92 | |
CareFirst
| Professional | $26.42 | $29.98 | $180.58 | |
Cigna
| Professional | $29.10 | $81.06 | $117.60 | |
Kaiser Permanente
| Professional | $39.43 | $42.00 | $42.00 | |
United
| Professional | $26.88 | $43.37 | $90.29 |