| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $44.67 | $54.95 | |
CareFirst
| Professional | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $26.30 | $26.30 | $26.30 | |
Kaiser Permanente
| Professional | $74.13 | $74.13 | $104.71 | |
United
| Professional | $30.20 | $36.31 | $63.10 |