| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.99 | $49.82 | $66.77 | |
CareFirst
| Professional | $53.14 | $53.14 | $53.14 | |
Cigna
| Professional | $33.32 | $33.32 | $33.32 | |
Kaiser Permanente
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Professional | $34.15 | $42.75 | $66.47 |