| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.79 | $49.42 | $74.95 | |
CareFirst
| Professional | $52.72 | $52.72 | $52.72 | |
Cigna
| Professional | $36.11 | $36.11 | $36.11 | |
Kaiser Permanente
| Professional | $75.26 | $75.26 | $75.26 | |
United
| Professional | $35.20 | $37.54 | $65.94 |