| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $52.48 | $64.57 | |
CareFirst
| Professional | $56.23 | $56.23 | $56.23 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Kaiser Permanente
| Professional | $81.28 | $81.28 | $114.82 | |
United
| Professional | $30.20 | $39.81 | $70.79 |