| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.71 | $32.86 | $79.54 | |
Aetna
| Professional | 25 | $60.20 | $60.20 | $60.20 |
CareFirst
| Professional | $28.69 | $28.69 | $38.15 | |
Cigna
| Professional | $28.57 | $28.57 | $42.86 | |
Kaiser Permanente
| Professional | $32.60 | $37.75 | $72.59 | |
United
| Professional | $26.56 | $35.40 | $76.62 |