| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $7.94 | $7.94 | |
CareFirst
| Professional | $7.94 | $7.94 | $7.94 | |
Cigna
| Professional | $9.33 | $9.33 | $9.33 | |
Kaiser Permanente
| Professional | $95.50 | $95.50 | $128.82 | |
United
| Professional | $7.94 | $7.94 | $7.94 |