| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $33.11 | $40.74 | |
CareFirst
| Professional | $89.13 | $114.82 | $147.91 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Kaiser Permanente
| Professional | $42.66 | $45.71 | $87.10 | |
United
| Professional | $26.30 | $42.66 | $125.89 |