| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $37.15 | $44.67 | |
CareFirst
| Professional | $41.69 | $41.69 | $41.69 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
Kaiser Permanente
| Professional | $51.29 | $60.26 | $85.11 | |
United
| Facility | $60.26 | $60.26 | $60.26 | |
United
| Professional | $19.50 | $29.51 | $39.81 |