| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.56 | $78.56 | $78.56 | |
CareFirst
| Professional | $59.90 | $59.90 | $59.90 | |
Cigna
| Professional | $72.00 | $72.00 | $90.00 | |
Kaiser Permanente
| Professional | $158.88 | $158.88 | $158.88 | |
United
| Professional | $28.92 | $70.13 | $109.45 |