| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $33.88 | $41.69 | |
CareFirst
| Professional | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 | |
Kaiser Permanente
| Professional | $46.77 | $54.95 | $77.62 | |
United
| Facility | $54.95 | $54.95 | $54.95 | |
United
| Professional | $18.20 | $26.92 | $37.15 |