| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.25 | $31.25 | $35.84 | |
CareFirst
| Professional | $30.79 | $33.22 | $33.22 | |
Cigna
| Professional | $45.02 | $75.37 | $104.88 | |
Kaiser Permanente
| Professional | $45.00 | $45.00 | $45.00 | |
United
| Professional | $48.14 | $48.14 | $90.27 |