| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.04 | $52.25 | $69.66 | |
CareFirst
| Professional | $55.73 | $55.73 | $55.73 | |
Cigna
| Professional | $29.54 | $29.54 | $29.54 | |
Kaiser Permanente
| Professional | $67.62 | $81.94 | $119.33 | |
United
| Professional | $30.70 | $39.69 | $50.82 |