| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.83 | $15.83 | $18.38 | |
CareFirst
| Professional | $15.76 | $16.64 | $16.64 | |
Cigna
| Professional | $38.59 | $67.08 | $105.64 | |
Kaiser Permanente
| Professional | $45.00 | $45.00 | $45.00 | |
United
| Professional | $25.65 | $25.65 | $48.09 |